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1073654059
LAURA ELLEN MALLEY
WOOD RIVER, IL
NPI
1073654059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 002657)
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
-- LAURA ELLEN MALLEY LPC
549 N 1ST ST
WOOD RIVER, IL 62095-1504
Phone number: 618-254-2911
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Mailing Address
-- LAURA ELLEN MALLEY LPC
549 N 1ST ST
WOOD RIVER, IL 62095-1504
Phone number: 618-254-2911
Copy
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