Individual
MS. MALLORY M BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
208 E 860 S, OREM, UT 84058-5013
(801) 420-3117
Mailing address
208 E 860 S, OREM, UT 84058-5013
(801) 420-3117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
UT
Other
Enumeration date
12/03/2021
Last updated
12/07/2021
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