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1063862050
MALLORY BABCOCK
COOS BAY, OR
NPI
1063862050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-06-21
Last Update Date
2024-05-06
Business Address
MALLORY BABCOCK
1885 THOMPSON RD
COOS BAY, OR 97420-2152
Phone number: 541-266-8480
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Mailing Address
MALLORY BABCOCK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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