Individual
EBONY MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 DACOMA ST, HOUSTON, TX 77092-8905
(346) 455-7249
Mailing address
7235 TOLUCA DR, ROSHARON, TX 77583-4461
(773) 905-9024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65629
TX
Other
Enumeration date
05/21/2021
Last updated
12/30/2024
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