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Individual
MRS. OLIVIA CASSIDY MALLOCH
Active
Individual
MRS. OLIVIA CASSIDY MALLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5538
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6169
ME
Other
Enumeration date
11/11/2015
Last updated
08/14/2026
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