Delay, Mallory

Delay, Mallory is an sole proprietor health care provider with primary practice located at 3928 S Nova Rd , Port Orange FL 32127-4911. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Delay, Mallory can be contacted via phone (386) 822-9941.

Contact Information

Primary practice address
3928 S Nova Rd Port Orange FL 32127-4911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205540762
LBN Legal business name Delay, Mallory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2023
Last updated Jan 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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