Individual
MALLORY LEIGH DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
633 E 63RD ST STE 240, KANSAS CITY, MO 64110-3331
(816) 673-6769
Mailing address
633 E 63RD ST STE 240, KANSAS CITY, MO 64110-3331
(816) 756-3505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024029167
MO
Other
Enumeration date
07/26/2024
Last updated
08/07/2024
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