Individual
MALLORY W GAKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S 9TH ST STE 108, NOBLESVILLE, IN 46060-2709
(317) 333-6838
Mailing address
4925 DUNLIN DR, INDIANAPOLIS, IN 46235-0014
(317) 694-9702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33008825A
IN
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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