GEORGE MALLINCKRODT

HOLLYWOOD, FL
NPI1801350400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH6922)
Enumeration Date2019-01-28
Last Update Date2019-01-28
Business Address
GEORGE MALLINCKRODT
901 S 62ND AVE
HOLLYWOOD, FL 33023-1848
Phone number: 561-790-1191
Mailing Address
GEORGE MALLINCKRODT
4280 GALT OCEAN DR APT 9C
FT LAUDERDALE, FL 33308-6105
Phone number: 305-297-6054
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