Individual
MALLORY KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
Mailing address
4502 95TH ST, URBANDALE, IA 50322-1456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007998
IA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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