Wyman, Mallori Louise
Wyman, Mallori Louise is an individual health care provider with primary practice located at 4253 N Crossover Rd , Fayetteville AR 72703-4593. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wyman, Mallori Louise can be contacted via phone (479) 443-7105.Contact Information
Primary practice address
4253 N Crossover Rd
Fayetteville AR 72703-4593
Phone: (479) 443-7105
Fax: (479) 443-2519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1326241811 |
|---|---|
| LBN Legal business name | Wyman, Mallori Louise |
| Credentials | MHPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 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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