MALLORY MAHAN

COOKEVILLE, TN
NPI1801440110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YS0200X Counselor School
(Licence: TN  000609761)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
MALLORY MAHAN
606 E SPRING ST
COOKEVILLE, TN 38501-5066
Phone number: 931-303-0665
Mailing Address
MALLORY MAHAN
606 E SPRING ST
COOKEVILLE, TN 38501-5066
Phone number: 931-303-0665
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