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1871053553
LAUREL MALLONEE
MURRAY, UT
NPI
1871053553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8324665-3501)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
LAUREL MALLONEE
925 E EXECUTIVE PARK DR STE B
MURRAY, UT 84117-3545
Phone number: 801-590-9277
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Mailing Address
LAUREL MALLONEE
943 CHAPEL DR APT 2
BOUNTIFUL, UT 84010-5935
Phone number: 801-230-4112
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