IVORY G MALLORY

SAN ANTONIO, TX
NPI1316553191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  15154)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
IVORY G MALLORY
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
Mailing Address
IVORY G MALLORY
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
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