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1013317197
JAMIE RAE MALLORY
SANTA ROSA, CA
NPI
1013317197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-26
Last Update Date
2024-06-04
Business Address
JAMIE RAE MALLORY
2255 CHALLENGER WAY
SANTA ROSA, CA 95407-2928
Phone number: 707-326-0137
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Mailing Address
JAMIE RAE MALLORY
2255 CHALLENGER WAY
SANTA ROSA, CA 95407-5423
Phone number: 707-326-0137
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