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1538483839
KRYSTAL MIA MALLORY
LONG BEACH, CA
NPI
1538483839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 89834)
Enumeration Date
2010-03-16
Last Update Date
2022-10-12
Business Address
KRYSTAL MIA MALLORY
324 E BIXBY RD
LONG BEACH, CA 90807
Phone number: 562-595-8111
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Mailing Address
KRYSTAL MIA MALLORY
324 E BIXBY RD
LONG BEACH, CA 90807-3432
Phone number: 562-595-8111
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