Individual
ALLIE DOMAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 S REDWOOD RD BLDG E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Mailing address
7601 S REDWOOD RD BLDG E, WEST JORDAN, UT 84084-4007
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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