Individual
MS. GABRIELLA ALEXZANDRIA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 COLLINGWOOD ST STE 217, DETROIT, MI 48206-1500
(248) 884-7645
Mailing address
19206 GRANDVIEW ST, DETROIT, MI 48219-1693
(313) 675-3426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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