Kevin Michael Mallory

NPI #1568958015 in La Grande, Oregon

Provider Information

NPI Number
1568958015
Entity Type
Individual
Name
Kevin Michael Mallory
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Jul 9, 2018
Last Updated
Jul 9, 2018

Practice Location

Address
2301 COVE AVE
State
Oregon
ZIP Code
97850-3906
Phone
(541) 962-8800

Specialties & Taxonomy Codes

Specialty
Counselor

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