| Doctor Name: | MALLORY GAMER |
| NPI Number: | 1073979936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACSW |
| License Number: | 149.017634 |
| Business Practice Address: | 10929 South St Ste 214b Cerritos, CA - 907035374 |
| Business Phone Number: | 5629245526 |
| Business Fax Number: | |
| Mailing Address: | 10929 South St Ste 214b, CERRITOS |
| State: | CA |
| Postal Code: | 907035374 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2016 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.017634 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |