Individual provider · NPI-1

Mallory Elizabeth Daughety

Marriage & Family Therapist · Kaysville, UT

NPI number1720835341
StatusActive
Last updated in NPPESMay 1, 2024

Details

NPI
1720835341
Entity type
Individual (NPI-1)
Name
Mallory Elizabeth Daughety
Sex
Female
Sole proprietor
Yes
Enumeration date
May 1, 2024
Certification date
May 1, 2024
Last updated
May 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist13430185-3904UTYes

Practice location

375 N Main St Ste 102
Kaysville, UT 84037-1272

Phone 801-989-3488

Mailing address

54 E Gordon Ave
Layton, UT 84041-2528

Phone 252-229-3054

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