Individual
MALLORY LYNN MCIVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S MAIN ST, HARRISONBURG, VA 22807-0001
(412) 335-3405
Mailing address
56 W GAY ST APT 104, HARRISONBURG, VA 22802-3912
(412) 335-3405
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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