Most Relevant Information
Provider Data
| NPI Number: | 1003265257 |
| Provider Name: | LAUREN MALLORY LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LW61077072 |
Most Important Dates
| Enumeration Date: | 06/08/2016 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
3435 MARTIN WAY E STE H-1
OLYMPIA
WA
985065071
Practice Location Phone/Fax
| Phone: | 3604805388 |
| Fax: |
Provider Mailing Location
3435 MARTIN WAY E STE H-1
OLYMPIA
WA
985065071
Provider Mailing Phone/Fax
| Phone: | 3604805388 |
| Fax: |