Individual
AMY MALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 O ST SW, WASHINGTON, DC 20024-2901
(202) 821-5771
Mailing address
353 O ST SW, WASHINGTON, DC 20024-2901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00834
DC
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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