Individual
MRS. KALLIE D MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, AS
Contact information
Practice address
517 COURT ST RM 503, NEILLSVILLE, WI 54456-1976
(715) 743-5191
(715) 743-5209
Mailing address
517 COURT ST RM 503, NEILLSVILLE, WI 54456-1976
(715) 743-5191
(715) 743-5209
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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