Individual
BAILEY MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSGC
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 340, MEMPHIS, TN 38120-2378
(901) 722-0577
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
526
TN
Other
Enumeration date
11/03/2021
Last updated
08/12/2022
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