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1215021712
TARA MALLARD GEORGE
RICHMOND, VA
NPI
1215021712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701003429)
Enumeration Date
2006-10-02
Last Update Date
2022-09-21
Business Address
Mrs. TARA MALLARD GEORGE LPC, RN
4914 FITZHUGH AVE STE 214
RICHMOND, VA 23230-3534
Phone number: 804-377-3955
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Mailing Address
Mrs. TARA MALLARD GEORGE LPC, RN
4914 FITZHUGH AVE STE 214
RICHMOND, VA 23230-3534
Phone number: 804-467-2606
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