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1639406614
KEENAN ANE MALLORY
MELBOURNE, FL
NPI
1639406614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 9266)
Enumeration Date
2009-11-11
Last Update Date
2009-11-11
Business Address
-- KEENAN ANE MALLORY LCSW
1900 S HARBOR CITY BLVD
MELBOURNE, FL 32901-4749
Phone number: 321-514-5048
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Mailing Address
-- KEENAN ANE MALLORY LCSW
2571 STRATFORD POINTE DR
WEST MELBOURNE, FL 32904-8058
Phone number: 321-514-5048
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