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1942707542
STEPHEN MALLOY
SAN FRANCISCO, CA
NPI
1942707542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-10
Last Update Date
2018-04-16
Business Address
STEPHEN MALLOY RADT-1
982 MISSION ST
SAN FRANCISCO, CA 94103-2911
Phone number: 415-734-4268
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Mailing Address
STEPHEN MALLOY RADT-1
982 MISSION ST
SAN FRANCISCO, CA 94103-2911
Phone number:
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