Individual
MALLORY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9135 N MERIDIAN ST STE A4, INDIANAPOLIS, IN 46260-1815
(317) 937-0149
Mailing address
9135 N MERIDIAN ST STE A4, INDIANAPOLIS, IN 46260-1815
(317) 937-0149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002571A
IN
Other
Enumeration date
07/18/2014
Last updated
12/03/2018
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