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1548900780
MYA MARIE MALLAD
PORTAGE, MI
NPI
1548900780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801112369)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
Mrs. MYA MARIE MALLAD LLMSW
8001 ANGLING RD
PORTAGE, MI 49024-7422
Phone number: 269-321-7090
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Mailing Address
Mrs. MYA MARIE MALLAD LLMSW
50634 SILVERTON
CANTON, MI 48187-7703
Phone number: 313-247-8270
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