Individual
MALLORY MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SOUTHPARK CT, COLUMBUS, IN 47201-7489
(270) 668-9603
Mailing address
128 TUCKER SCHOOL LN, HARDINSBURG, KY 40143-4701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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