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1750697439
WALTER T. MALLORY
SAN RAFAEL, CA
NPI
1750697439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-19
Last Update Date
2011-12-01
Business Address
-- WALTER T. MALLORY M.A.
555 NORTHGATE DR SUITE 100
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
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Mailing Address
-- WALTER T. MALLORY M.A.
555 NORTHGATE DR SUITE 100
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
Copy
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