Cook, Mallory Ann

Cook, Mallory Ann is an individual health care provider with primary practice located at 787 Sunset Blvd , O Fallon IL 62269-1960. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cook, Mallory Ann can be contacted via phone (618) 292-8964.

Contact Information

Primary practice address
787 Sunset Blvd O Fallon IL 62269-1960
Phone: (618) 292-8964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.018067 Illinois

Profile Details

NPI number 1851635338
LBN Legal business name Cook, Mallory Ann
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2012
Last updated Apr 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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