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MALLORY LOREN COOK AHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1101 JAMISON ST, KIRKSVILLE, MO 63501-3943
(660) 665-1962
(660) 627-0642
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 246-1210
(636) 246-1008

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021042273
MO

Other

Enumeration date
11/01/2021
Last updated
03/04/2024
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