MALLORY FORD

Counselor

Active Individual
NPI: 1699295311

Practice Address

1610 S ARKANSAS AVE
Russellville, AR 72801

Phone: (479) 967-4673

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1699295311 is the National Provider Identifier for MALLORY FORD, a Counselor provider located in Russellville, AR. This NPI was enumerated on June 23, 2017.
MALLORY FORD practices at 1610 S ARKANSAS AVE, Russellville, AR 72801.

Quick Facts

NPI
1699295311
Type
Individual
Enumerated
Jun 23, 2017
Last Updated
Jun 23, 2017

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