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1417598137
KATHY MALLES-OVERCAST
SAN DIEGO, CA
NPI
1417598137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
KATHY MALLES-OVERCAST RADT
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
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Mailing Address
KATHY MALLES-OVERCAST RADT
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
Copy
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