Lois Mallory's National Provider Identifier (NPI) Details
Lois Mallory, LCSW
NPI: 1619284817
Enumeration Date: 2010-09-09
Last updated: 2010-09-09
Sole Proprietor: YES
Status: active
Postal Address: 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO
Phone: 360-249-3661
Primary Practice Address: 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO
Practice's phone: 360-249-3661