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MS. MALLORY ANDERSEN CASE MANAGER

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1770870644

Individual Registrant:
MS. MALLORY  ANDERSEN CASE MANAGER
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2500 BISSELL AVE  RICHMOND, CA 94804-1815 US
Tel: 510-235-1516  Fax: --

Contact information for business:
2500 BISSELL AVE  RICHMOND, CA 94804-1815 US
Tel: 510-235-1516  Fax: --

Registration Information:
NPI: 1770870644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
UT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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