Individual
MRS. MALLORY CLARK FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9870 HIGHWAY 92 STE 200, WOODSTOCK, GA 30188-6403
(678) 504-6388
(678) 445-7778
Mailing address
1900 THE EXCHANGE SE STE 100, ATLANTA, GA 30339-2022
(404) 233-3949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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