Mallorie Ely, LCSW

NPI #1871925834 in Sandpoint, Idaho

Provider Information

NPI Number: 1871925834
Entity Type: Individual
Name: Mallorie Ely, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Aug 1, 2013
Last Updated: Aug 8, 2023

Practice Location

Address: 1009 HIGHWAY 2 STE D
City: Sandpoint
State: Idaho
ZIP Code: 83864-2713
Phone: (208) 610-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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