Individual
MALLORY MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 MONTICELLO ST, SOMERSET, KY 42501-2974
(606) 401-2966
(606) 244-4111
Mailing address
110 LIBERTY AVE, BEREA, KY 40403-1644
(606) 401-2966
(606) 244-4111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW00001168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
04/29/2016
Last updated
05/14/2026
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