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MALLORY BALL

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1235715376

Individual Registrant:
 MALLORY  BALL 
Gender: F
Sole Proprietor

Location and contact information for practice:
1190 ROCK WOODS RD  VALLEY GROVE, WV 26060-1039 US
Tel: 304-551-3753  Fax: --

Contact information for business:
1190 ROCK WOODS RD  VALLEY GROVE, WV 26060-1039 US
Tel: 304-551-3753  Fax: --

Registration Information:
NPI: 1235715376
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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