Individual
MALLORY WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19500 NORTH 2860 EAST, MORONI, UT 84646-0461
(435) 262-1217
(435) 436-9029
Mailing address
PO BOX 461, MORONI, UT 84646-0461
(435) 262-1217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235458555
—
UT
Enumeration date
02/12/2018
Last updated
03/06/2018
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