Mallory Wallace
Mallory Wallace is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cincinnati, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
8725 Brooks Creek Dr Apt 2125Cincinnati, OH 45249-2089
Phone: (424) 333-5672
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1972207504 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | March 28, 2023 |
| Certification date | March 28, 2023 |
| Mailing address | 8725 Brooks Creek Dr Apt 2125, Cincinnati, OH 45249-2089 |
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