Individual
MALLORY L. JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
529 E STROOP RD, DAYTON, OH 45429-3245
(937) 294-6004
Mailing address
529 E STROOP RD, DAYTON, OH 45429-3245
(937) 294-6004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1200116
OH
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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