MALLORY WARD

KINGSTON, PA
NPI1841414349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
MS. MALLORY WARD BA, CAC
562 WYOMING AVE
KINGSTON, PA 18704-3721
Phone number: 570-552-3713
Mailing Address
MS. MALLORY WARD BA, CAC
562 WYOMING AVE
KINGSTON, PA 18704-3721
Phone number: 570-552-3713
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