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1124404124
MALLORY HARTMAN
VIENNA, IL
NPI
1124404124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
Mrs. MALLORY HARTMAN
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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Mailing Address
Mrs. MALLORY HARTMAN
4301 BOSKYDELL RD
CARBONDALE, IL 62903-7610
Phone number:
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