Mallory, Jennifer Alice

Mallory, Jennifer Alice is an individual health care provider with primary practice located at 5108 Sandy Ln , Fairfield OH 45014. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mallory, Jennifer Alice can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
5108 Sandy Ln Fairfield OH 45014
Phone: (513) 834-7063
Fax: (513) 816-7789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.165090 Ohio

Profile Details

NPI number 1972018182
LBN Legal business name Mallory, Jennifer Alice
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2017
Last updated Jul 9th, 2018 - about 7 years ago

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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