BLAKE MALLOY

MAPLE GROVE, MN
NPI1033636519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-08-25
Last Update Date2017-08-25
Business Address
BLAKE MALLOY
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-274-3120
Mailing Address
BLAKE MALLOY
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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