Individual
ANN MALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1717 LEGION RD, SUITE G101, CHAPEL HILL, NC 27517-2396
(919) 933-1560
(919) 933-1854
Mailing address
1617 SUNRISE AVE, RALEIGH, NC 27608-2547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003869
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003445
—
NC
Enumeration date
01/24/2007
Last updated
07/09/2007
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