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1972164192
ALYSSIA JEANEESE MALLORY
SACRAMENTO, CA
NPI
1972164192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-27
Last Update Date
2019-11-06
Business Address
ALYSSIA JEANEESE MALLORY
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Phone number: 915-395-3552
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Mailing Address
ALYSSIA JEANEESE MALLORY
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Copy
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