ANTHONY MALLACE

FT. LAUDERDALE, FL
NPI1649402835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: FL  MH1149)
Enumeration Date2009-08-20
Last Update Date2009-08-20
Business Address
Mr. ANTHONY MALLACE MS
2699 STIRLING ROAD SUITE B304
FT. LAUDERDALE, FL 33312
Phone number: 954-432-8757
Mailing Address
Mr. ANTHONY MALLACE MS
8320 NW 11TH COURT
PEMBROKE PINES, FL 33024
Phone number: 954-432-8757