Individual
MALLORY HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(970) 420-5547
Mailing address
2985 COLLEGE AVE APT 4, BOULDER, CO 80303-1862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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