Individual
MR. MALLORY RICHARD DEAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5726 MARLIN RD, FRANKLIN BUILDING, SUITE 200, CHATTANOOGA, TN 37411-4008
(423) 954-8890
Mailing address
4407 PAULA LN, CHATTANOOGA, TN 37415-2925
(423) 883-6652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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