Individual
MALLORY FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1109 E SAM HOUSTON BLVD, PHARR, TX 78577-5629
(801) 710-9988
Mailing address
4224 N MCCOLL RD APT 3101, MCALLEN, TX 78504-4483
(801) 710-9988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105024
TX
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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