Individual
ALISA BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Mailing address
12547 S 1745 E, DRAPER, UT 84020-6001
(801) 414-7094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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