MALLORY TANIS

LAKE ORION, MI
NPI1457958092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MI  6401018504)
Enumeration Date2020-10-06
Last Update Date2020-10-06
Business Address
MALLORY TANIS
189 W CLARKSTON RD
LAKE ORION, MI 48362-2892
Phone number: 844-642-9273
Mailing Address
MALLORY TANIS
PO BOX 18
LAKE ORION, MI 48361-0018
Phone number: