Ward, Mallory

Ward, Mallory is an sole proprietor health care provider with primary practice located at 562 Wyoming Ave , Kingston PA 18704-3721. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as her primary health care specialty. Ward, Mallory can be contacted via phone (570) 552-3713.

Contact Information

Primary practice address
562 Wyoming Ave Kingston PA 18704-3721
Phone: (570) 552-3713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1841414349
LBN Legal business name Ward, Mallory
Credentials BA, CAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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