Modern Family Therapy Services Limited Liability Company

NPI #1639822042 in Riverdale, Utah

Provider Information

NPI Number: 1639822042
Entity Type: Organization
Organization Name: Modern Family Therapy Services Limited Liability Company
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jan 27, 2022
Last Updated: Jan 27, 2022

Practice Location

Address: 4933 S 1500 W STE 200
City: Riverdale
State: Utah
ZIP Code: 84405-7738
Phone: (801) 896-3284

Authorized Official

Name: MARLA WILLARD
Title: OWNER
Phone: (801) 896-3284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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