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1487974051
KEISHA MICHELLE MALLOY
WILMINGTON, NC
NPI
1487974051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
-- KEISHA MICHELLE MALLOY MS, CRC, CVE
5041 NEW CENTRE DR STE 209
WILMINGTON, NC 28403-1624
Phone number: 910-392-8951
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Mailing Address
-- KEISHA MICHELLE MALLOY MS, CRC, CVE
5041 NEW CENTRE DR STE 209
WILMINGTON, NC 28403-1624
Phone number: 910-392-8951
Copy
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