Individual
MALLORY DELAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3928 S NOVA RD, PORT ORANGE, FL 32127-4911
(386) 822-9941
Mailing address
1630 N PAGE DR, DELTONA, FL 32725-6020
(352) 457-8046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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