Individual
MALLORY JORDAN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16216 BAXTER RD STE 205, CHESTERFIELD, MO 63017-4778
(636) 532-9188
Mailing address
2800 S GRAND BLVD APT 103, SAINT LOUIS, MO 63118-1007
(636) 290-4441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021017853
MO
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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