Individual
CHRISTINA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
Mailing address
1524 WALNUT CREEK DR, FLEMING ISLAND, FL 32003-7424
(904) 505-0193
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1848
FL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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