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1417410168
DEBBIE MALLOY LLC
CARROLLTON, GA
NPI
1417410168
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Entity Type
Organization
Authorized Contact
LYNETTE CLARK
Credentialing Manager
770-339-7667
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2019-04-10
Last Update Date
2020-07-29
Business Address
DEBBIE MALLOY LLC
809 S PARK ST STE 2
CARROLLTON, GA 30117-4423
Phone number: 678-390-4218
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Mailing Address
DEBBIE MALLOY LLC
412 SUNSET BLVD
CARROLLTON, GA 30117-4139
Phone number: 678-390-4218
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