Individual
MALLORY MORGAN MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
510 MANOR DR, SEYMOUR, IN 47274-2218
(812) 525-8423
Mailing address
510 MANOR DR, SEYMOUR, IN 47274-2218
(812) 525-8423
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10322524
IN
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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