Individual
ANDREA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7630 BETHANY RD, LIBERTY TOWNSHIP, OH 45044-9583
(513) 588-7700
(513) 759-2024
Mailing address
401 E MCMILLAN ST, CINCINNATI, OH 45206-1922
(513) 221-3350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.1901963
OH
1041C0700X
Clinical Social Worker
Primary
I.1901963
OH
Other
Enumeration date
04/20/2018
Last updated
08/04/2023
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