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Organization

EPIC POSSIBILITIES AND DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN MALLORY LICSW (OWNER)
(360) 480-5388
Entity
Organization

Contact information

Practice address
204 CUSTER WAY SW STE 101, TUMWATER, WA 98501-3330
(360) 480-5388
Mailing address
204 CUSTER WAY SW STE 101, TUMWATER, WA 98501-3330
(360) 480-5388

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/08/2020
Last updated
01/26/2026
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