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1093166530
JENNIFER MARIE MALLIS
PONTE VEDRA BEACH, FL
NPI
1093166530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 14978)
Enumeration Date
2016-06-27
Last Update Date
2020-09-17
Business Address
Ms. JENNIFER MARIE MALLIS MSW, LCSW, QS
174 ISLAND HARBOR CIR
PONTE VEDRA BEACH, FL 32082-1215
Phone number: 904-923-2108
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Mailing Address
Ms. JENNIFER MARIE MALLIS MSW, LCSW, QS
174 ISLAND HARBOR CIR
PONTE VEDRA BEACH, FL 32082-1215
Phone number: 904-923-2108
Copy
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