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1013795871
LAUREL MEREDITH MALLOY
SAN ANTONIO, TX
NPI
1013795871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 16255)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
Ms. LAUREL MEREDITH MALLOY MED, LPC
5503 GRISSOM RD STE 110
SAN ANTONIO, TX 78238-3036
Phone number: 210-418-2546
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Mailing Address
Ms. LAUREL MEREDITH MALLOY MED, LPC
9451 KIRK POND
SAN ANTONIO, TX 78240-2713
Phone number: 210-682-4963
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