Individual
MALLORY FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
Mailing address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/12/2024
Last updated
10/20/2025
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