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1841414349
MALLORY WARD
KINGSTON, PA
NPI
1841414349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Ms. MALLORY WARD BA, CAC
562 WYOMING AVE
KINGSTON, PA 18704-3721
Phone number: 570-552-3713
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Mailing Address
Ms. MALLORY WARD BA, CAC
562 WYOMING AVE
KINGSTON, PA 18704-3721
Phone number: 570-552-3713
Copy
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