Individual
MALLORY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW LSSW
Contact information
Practice address
7229 STONE GARDEN DR, OLIVE BRANCH, MS 38654-6419
(870) 692-8102
Mailing address
7229 STONE GARDEN DR, OLIVE BRANCH, MS 38654-6419
(870) 692-8102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10537
TN
1041S0200X
School Social Worker
000634883
TN
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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