Individual
MALLORY CARTA HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 CARTERS CREEK PIKE, COLUMBIA, TN 38401-7370
(615) 772-3412
Mailing address
PO BOX 282, THOMPSONS STATION, TN 37179-0282
(615) 772-3412
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000558261
TN
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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