Individual
LAUREL MALLONEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 E EXECUTIVE PARK DR STE B, MURRAY, UT 84117-3545
(801) 590-9277
Mailing address
943 CHAPEL DR APT 2, BOUNTIFUL, UT 84010-5935
(801) 230-4112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8324665-3501
UT
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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