| Gwendolyn Mallory, QMHA | |
|
4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | |
| (909) 600-8373 | |
| Not Available |
| Full Name | Gwendolyn Mallory |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4550 W Sahara Ave Apt 1241, Las Vegas, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225666597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 02632-I (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendolyn Mallory, QMHA 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 Ph: (909) 600-8373 | Gwendolyn Mallory, QMHA 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 Ph: (909) 600-8373 |
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