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1194238089
WILLIAM PAUL MALLOY
KENNETT, MO
NPI
1194238089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
WILLIAM PAUL MALLOY
925 STATE HWY VV
KENNETT, MO 36857
Phone number: 573-359-2600
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Mailing Address
WILLIAM PAUL MALLOY
581 HWY J NORTH
HAYTI, MO 63851-0441
Phone number: 573-359-2600
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