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Individual

KATE MALLORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
240 MADISON AVE STE 601, MEMPHIS, TN 38103-2770
(901) 490-5471
Mailing address
106 E GOODWYN ST, MEMPHIS, TN 38111-2514
(901) 490-5471

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4756
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
09/28/2020
Last updated
09/28/2020
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