Individual
MALLORIE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT2018-013
AR
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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