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1679069280
MALLORIE KRUEGER
WEIRTON, WV
NPI
1679069280
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Former Name
MALLORIE DAZEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
MALLORIE KRUEGER MSCP
3920 WASHINGTON ST
WEIRTON, WV 26062-5343
Phone number: 304-748-3768
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Mailing Address
MALLORIE KRUEGER MSCP
3904 CLAREMONT PL
WEIRTON, WV 26062-4314
Phone number: 412-445-6870
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