Mallory Dines

NPI #1942933486 in Caledonia, Michigan

Provider Information

NPI Number: 1942933486
Entity Type: Individual
Name: Mallory Dines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 1, 2022
Last Updated: Jul 1, 2022

Practice Location

Address: 6404 LEISURE CREEK DR SE
City: Caledonia
State: Michigan
ZIP Code: 49316-8988
Phone: (269) 425-1536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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