Individual
SOPHIA ALICE MALLERY
Active
Individual
SOPHIA ALICE MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
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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