Individual
BRANDY LEE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 MESMERIZING WALK # A, SACRAMENTO, CA 95835-2672
(916) 831-0217
Mailing address
3040 MESMERIZING WALK, SACRAMENTO, CA 95835-2672
(916) 831-0217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
75905
CA
Other
Enumeration date
08/07/2012
Last updated
07/28/2022
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