Individual
POLLY MATHEWS MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
185 N WEST TEMPLE APT 403, SALT LAKE CITY, UT 84103-1563
(248) 330-2737
Mailing address
185 N WEST TEMPLE APT 403, SALT LAKE CITY, UT 84103-1563
(248) 330-2737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006097
MI
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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