Mallory Marie Carlson
Mallory Marie Carlson is a Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-2616
Fax: (208) 381-3042
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence LMSW-37154 (ID) |
|---|
Record details
| NPI number | 1487154613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 14, 2018 |
| Last updated in NPPES | February 14, 2018 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
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