Carl Michael Mallory-Nichols

NPI #1053995969 in Mentor, Ohio

Provider Information

NPI Number: 1053995969
Entity Type: Individual
Name: Carl Michael Mallory-Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 6, 2021
Last Updated: May 6, 2021

Practice Location

Address: 8445 MUNSON RD
City: Mentor
State: Ohio
ZIP Code: 44060-2410
Phone: (440) 352-7271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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