DANIEL ROBIN VAN DER MALLIE

WAVERLY, OH
NPI1669972998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.162705)
Enumeration Date2018-02-13
Last Update Date2018-02-13
Business Address
DANIEL ROBIN VAN DER MALLIE CDCA
14574 US HIGHWAY 23
WAVERLY, OH 45690-9373
Phone number: 740-912-9126
Mailing Address
DANIEL ROBIN VAN DER MALLIE CDCA
1725 CHARLES ST
PORTSMOUTH, OH 45662-4639
Phone number: 740-947-6727
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