Individual
KIMBERLY E MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 324-8900
Mailing address
19199 APPOLINE ST, DETROIT, MI 48235-1214
(248) 403-9300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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