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1477185098
SHANITA MALLORY
VIRGINIA BEACH, VA
NPI
1477185098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704007981)
Enumeration Date
2020-02-11
Last Update Date
2023-03-30
Business Address
SHANITA MALLORY LPC
900 COMMONWEALTH PL STE 225
VIRGINIA BEACH, VA 23464-4517
Phone number: 757-895-7007
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Mailing Address
SHANITA MALLORY LPC
10 BIG BETHEL RD APT A
HAMPTON, VA 23666-4736
Phone number: 757-589-8720
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