Individual
MALLORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3724 LAKESIDE DR STE 200, RENO, NV 89509-5293
(775) 895-0712
Mailing address
3724 LAKESIDE DR STE 200, RENO, NV 89509-5293
(775) 895-0712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
07/22/2026
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