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1205594140
MALLORY WAYMAN
PALO ALTO, CA
NPI
1205594140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-12-07
Last Update Date
2023-07-06
Business Address
MALLORY WAYMAN
4139 EL CAMINO WAY
PALO ALTO, CA 94306-4010
Phone number: 640-999-7069
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Mailing Address
MALLORY WAYMAN
1922 THE ALAMEDA STE 316
SAN JOSE, CA 95126-1461
Phone number: 408-261-7777
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