Dionetta Christine Mallory

NPI #1053965202 in Stockton, California

Provider Information

NPI Number: 1053965202
Entity Type: Individual
Name: Dionetta Christine Mallory
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 26, 2019
Last Updated: Jul 26, 2019

Practice Location

Address: 2510 N CALIFORNIA ST
City: Stockton
State: California
ZIP Code: 95204-5502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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