LARRY MALLORY

COLUMBUS, OH
NPI1134655640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  976259)
Enumeration Date2017-05-03
Last Update Date2017-05-03
Business Address
-- LARRY MALLORY LCDCII
1515 E BROAD ST
COLUMBUS, OH 43205-1550
Phone number: 614-251-0711
Mailing Address
-- LARRY MALLORY LCDCII
9902 HOOVER WOODS RD
GALENA, OH 43021-9482
Phone number: 740-815-4739
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