Individual
JESSICA NICOLE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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