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1245858703
LAURA W MALLARD
ATLANTA, GA
NPI
1245858703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
LAURA W MALLARD
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316-2921
Phone number: 404-486-9034
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Mailing Address
LAURA W MALLARD
310 OXFORD HALL DR
ALPHARETTA, GA 30005-4390
Phone number: 678-393-8849
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