Individual
ALLYSA MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S 400 E STE 230, SALT LAKE CITY, UT 84111-5313
(801) 920-7112
Mailing address
480 E 300 S APT 1, SALT LAKE CITY, UT 84111-2670
(801) 389-3020
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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