Individual
MS. LOIS MARGARET MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(360) 249-3661
Mailing address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(360) 249-3661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 14860
CA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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