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1831540871
AUDREY MALLARD
LEXINGTON, SC
NPI
1831540871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- AUDREY MALLARD
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-359-3545
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Mailing Address
-- AUDREY MALLARD
3207 LAKEWOOD AVE
COLUMBIA, SC 29201-1433
Phone number:
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