ALYSSIA JEANEESE MALLORY

SACRAMENTO, CA
NPI1972164192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-27
Last Update Date2019-11-06
Business Address
ALYSSIA JEANEESE MALLORY
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Phone number: 915-395-3552
Mailing Address
ALYSSIA JEANEESE MALLORY
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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