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1376949743
MALLORY DANIELLE MONTEFEL
PHOENIX, AZ
NPI
1376949743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LAC-13187)
Enumeration Date
2014-11-13
Last Update Date
2014-11-13
Business Address
-- MALLORY DANIELLE MONTEFEL EdD, LAC
2505 W BERYL AVE
PHOENIX, AZ 85021-1641
Phone number: 602-599-5519
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Mailing Address
-- MALLORY DANIELLE MONTEFEL EdD, LAC
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-599-5404
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