Individual
MALLORY ROSE FORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 GORDON DR, SIOUX CITY, IA 51101-1829
(800) 242-5101
Mailing address
831 GORDON DR, SIOUX CITY, IA 51101-1829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
120830
IA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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