Alexander Mallett

NPI #1902596893 in South Salt Lake, Utah

Provider Information

NPI Number: 1902596893
Entity Type: Individual
Name: Alexander Mallett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 12, 2023
Last Updated: May 12, 2023

Practice Location

Address: 447 W BEARCAT DR
City: South Salt Lake
State: Utah
ZIP Code: 84115-2519
Phone: (801) 355-2846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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