MALLORY WILSON, SUDA
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1730923699
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 13044 (ID) |
Frequently Asked Questions
NPI 1730923699 is the National Provider Identifier for MALLORY WILSON, SUDA, a Counselor - Addiction (Substance Use Disorder) provider located in Twin Falls, ID. This NPI was enumerated on June 24, 2024.
MALLORY WILSON, SUDA practices at 630 ADDISON AVE W STE 1000, Twin Falls, ID 83301.
Quick Facts
- NPI
- 1730923699
- Type
- Individual
- Enumerated
- Jun 24, 2024
- Last Updated
- Jun 24, 2024
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