Search › Florida › 1041C0700X
Jennifer Mallis, MSW, LCSW, QS
NPI 1093166530 · on the registry since 2016 · sole proprietor
Practice
- Address
- 174 Island Harbor Cir
Ponte Vedra Beach, FL 32082 - Phone
- (904) 923-2108
Additional practice sites
- 11821 Remsen Rd, Jacksonville, FL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida