MALLORY OWENS

CENTRALIA, IL
NPI1174972855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-06-03
Last Update Date2016-06-03
Business Address
-- MALLORY OWENS MSW
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
Mailing Address
-- MALLORY OWENS MSW
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
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