Individual
DR. MALLORY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(651) 275-7400
Mailing address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LP7087
MN
Other
Enumeration date
08/03/2022
Last updated
09/24/2024
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