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Individual

MRS. MALLORY MARRA

Active
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Individual

MRS. MALLORY MARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC15341
MD
101YM0800X
Mental Health Counselor
PRC200012642
DC
101YP2500X
Professional Counselor
9722
SC
101YP2500X
Professional Counselor
PC019497
PA

Other

Enumeration date
10/24/2024
Last updated
07/10/2026
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