Individual
LAURA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
133 FORSYTH ST STE 3, BARNESVILLE, GA 30204-1458
(770) 358-5252
(770) 229-3223
Mailing address
1435 N EXPRESSWAY STE 301, GRIFFIN, GA 30223-9014
(770) 358-5252
(770) 229-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009999
GA
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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