Individual
MALLORY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 E 1650 S, OREM, UT 84097
(801) 946-0059
Mailing address
744 E 1650 S, OREM, UT 84097-8061
(801) 946-0059
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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