Mark Mallory
Mark Mallory is a Professional Counselor in Lubbock, Texas. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1628 19th StLubbock, TX 79401-4832
Phone: (806) 219-0500
Fax: (806) 766-1286
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1144628124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 8, 2014 |
| Last updated in NPPES | December 8, 2014 |
| Mailing address | 1628 19th St, Lubbock, TX 79401-4832 |
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