Individual
MALLORY TRESCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
7600 W REEVES RD, BLOOMINGTON, IN 47404-9639
(812) 876-2219
Mailing address
7600 W REEVES RD, BLOOMINGTON, IN 47404-9639
(812) 876-2219
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10004533
IN
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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