Individual
MALLORY MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Mailing address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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