Individual
SOPHIA ALICE MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
7201000573
MI
170300000X
Genetic Counselor (M.S.)
7251000032
MI
Other
Enumeration date
08/12/2024
Last updated
05/28/2025
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