Kmallorymd | |
12 Church St Lenox MA 01240-2503 | |
(413) 551-7155 | |
Not Available |
Full Name | Kmallorymd |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 12 Church St, Lenox, Massachusetts |
Authorized Official Name and Position | Katherine Mallory (OWNER) |
Authorized Official Contact | 4135517155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kmallorymd 12 Church St Lenox MA 01240-2503 Ph: (413) 551-7155 | Kmallorymd 12 Church St Lenox MA 01240-2503 Ph: (413) 551-7155 |
NPI Number | 1790370963 |
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Provider Enumeration Date | 03/09/2021 |
Last Update Date | 03/09/2021 |
Certification Date | 03/09/2021 |
Identifier | Type | State | Issuer |
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1790370963 | NPI | - | NPPES |
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