Individual
JANE E MALLORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
9 KENNY DR, ATHENS, OH 45701-9406
(740) 589-5132
(740) 593-6129
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1901534
OH
Other
Enumeration date
11/21/2016
Last updated
04/30/2019
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