Individual
ISIS MAHALLATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
13133 S 1300 E, DRAPER, UT 84020-9153
(801) 826-6900
Mailing address
1737 E HIDDEN VALLEY CLUB DR, SANDY, UT 84092-5881
(801) 815-0345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
07/08/2025
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