Wilson, Mallory

Wilson, Mallory is an individual health care provider with primary practice located at 3576 Arlington Ave Ste 100 , Riverside CA 92506-3907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Mallory can be contacted via phone (951) 374-1555.

Contact Information

Primary practice address
3576 Arlington Ave Ste 100 Riverside CA 92506-3907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 98202 California

Profile Details

NPI number 1629311378
LBN Legal business name Wilson, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Jul 21st, 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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