Individual
MALLORY ALLYCE BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961
(410) 334-6362
Mailing address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22956
MD
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
Enumeration date
09/06/2016
Last updated
07/21/2022
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