Individual
SHAWNTE MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 529-2972
Mailing address
4208 FORT DUPONT TER SE, WASHINGTON, DC 20020-6016
(202) 361-7386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
08/17/2023
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