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1801984422
ALAN W MALLAS
SALEM, MA
NPI
1801984422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1021060)
Enumeration Date
2006-10-10
Last Update Date
2011-10-03
Business Address
-- ALAN W MALLAS
27 CONGRESS ST
SALEM, MA 01970-7309
Phone number: 978-745-8890
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Mailing Address
-- ALAN W MALLAS
R 11 ANDOVER STREET
PEABODY, MA 01960
Phone number: 978-532-1428
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