Individual
MALLORY JEAN ALLES THIMLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2915
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
99080101A
IN
1041C0700X
Clinical Social Worker
Primary
34008893A
IN
Other
Enumeration date
06/08/2017
Last updated
09/02/2020
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