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1013779842
MICHELLE TERRY MALLEN
LONGWOOD, FL
NPI
1013779842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
MICHELLE TERRY MALLEN
781 CIARA CREEK CV STE 1011
LONGWOOD, FL 32750-4662
Phone number: 407-699-5824
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Mailing Address
MICHELLE TERRY MALLEN
127 HIDDEN ARBOR CT
SANFORD, FL 32773-5560
Phone number: 195-499-8981
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