Individual
KRISTEN MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 CANAL ST STE 220, NEW ORLEANS, LA 70119
(504) 482-2735
Mailing address
3221 BEHRMAN PL STE 201, NEW ORLEANS, LA 70114-8204
(504) 263-2800
(504) 263-2900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
11834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082416
—
LA
Enumeration date
12/10/2012
Last updated
08/20/2018
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