Kevin Michael Mallory
Kevin Michael Mallory is a Counselor in LA Grande, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2301 Cove AveLA Grande, OR 97850-3906
Phone: (541) 962-8800
Fax: (541) 963-5272
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1568958015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2018 |
| Last updated in NPPES | July 9, 2018 |
| Mailing address | 2301 Cove Ave, La Grande, OR 97850-3906 |
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