MALLORY LONG

BEAUMONT, TX
NPI1790336188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  215970)
Enumeration Date2019-09-26
Last Update Date2019-09-26
Business Address
MALLORY LONG
87 INTERSTATE 10 N STE 225
BEAUMONT, TX 77707-2549
Phone number: 409-835-0228
Mailing Address
MALLORY LONG
87 INTERSTATE 10 N STE 225
BEAUMONT, TX 77707-2549
Phone number: 409-835-0228
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