MRS. Mallory Hartman

NPI #1124404124 in Vienna, Illinois

Provider Information

NPI Number
1124404124
Entity Type
Individual
Name
MRS. Mallory Hartman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 3, 2015
Last Updated
Aug 3, 2015

Practice Location

Address
408 E VINE ST
City
Vienna
ZIP Code
62995-1612
Phone
(618) 658-2611

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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