Individual
MALLORY A. PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
140 PROSPECT AVE, KIRKWOOD, MO 63122-6024
(636) 675-3074
(314) 323-3373
Mailing address
140 PROSPECT AVE, KIRKWOOD, MO 63122-6024
(636) 675-3074
(314) 323-3373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013036984
MO
Other
Enumeration date
09/28/2015
Last updated
08/06/2016
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