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Individual
KRISTINA ERIKA MALLEY
Active
Individual
KRISTINA ERIKA MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010436
PA
Other
Enumeration date
05/24/2018
Last updated
02/25/2019
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