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1558139444
CAMILLE D. MALLORY
FORT PIERCE, FL
NPI
1558139444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH23107)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
CAMILLE D. MALLORY LMHC
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-468-5600
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Mailing Address
CAMILLE D. MALLORY LMHC
2950 SE OCEAN BLVD APT 129-10
STUART, FL 34996-3570
Phone number: 772-834-2021
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