Individual
ELEANOR MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
Mailing address
PO BOX 1648, DECATUR, GA 30031-1648
(404) 294-3836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014385
GA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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