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1780022194
GREGORY V MALLIS
GRAND RAPIDS, MI
NPI
1780022194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301015440)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
-- GREGORY V MALLIS Psy.D
1870 LEONARD ST SE
GRAND RAPIDS, MI 49505-5650
Phone number: 616-956-1122
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Mailing Address
-- GREGORY V MALLIS Psy.D
1870 LEONARD STREET SE
GRAND RAPIDS, MI 49505-5650
Phone number: 616-956-1122
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