Individual
MS. LAVONNE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
3029 MACDONALD AVE, RICHMOND, CA 94804-3010
(510) 231-7573
Mailing address
822 9TH ST, RICHMOND, CA 94801-2233
(510) 231-7573
(510) 307-4461
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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