Individual
MS. MALLORY BRELAND WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8772 QUARTERS LAKE RD # 13-8, BATON ROUGE, LA 70809-7305
(225) 694-1713
Mailing address
9390 RUE DE BENOIT, DENHAM SPRINGS, LA 70706-1508
(225) 241-0824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10099
LA
Other
Enumeration date
06/08/2015
Last updated
05/02/2018
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