Individual
MALLORY ELIZABETH DAUGHETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 N MAIN ST STE 102, KAYSVILLE, UT 84037-1272
(801) 989-3488
Mailing address
54 E GORDON AVE, LAYTON, UT 84041-2528
(252) 229-3054
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13430185-3904
UT
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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