PAUL DOUGLAS MALLAMO

OLATHE, KS
NPI1346832250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  1677)
Enumeration Date2021-02-11
Last Update Date2021-02-11
Business Address
PAUL DOUGLAS MALLAMO LAC
1009 E OLD HIGHWAY 56
OLATHE, KS 66061-4969
Phone number: 913-764-7555
Mailing Address
PAUL DOUGLAS MALLAMO LAC
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303-4120
Phone number: 636-224-1210
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