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NPI Profile for MALLORY DRIGGERS in PORT ORANGE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1285178319 |
|
| Status | Active | |
| Credentials | MA, LMHC | |
| Entity | Individual | |
| Enumeration date | 12/08/2016 | |
| Last updated | 07/06/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MALLORY DRIGGERS
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MALLORY DRIGGERS, MA, LMHC