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1750992616
MALLORY DEMOTTE
SOUTH JORDAN, UT
NPI
1750992616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 12386010-6004)
Enumeration Date
2020-08-13
Last Update Date
2023-12-27
Business Address
MALLORY DEMOTTE LCMHC
1258 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095-4711
Phone number: 801-255-1155
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Mailing Address
MALLORY DEMOTTE LCMHC
3228 W ROLLING CREEK WAY
SOUTH JORDAN, UT 84095-9380
Phone number: 801-680-7532
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