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Individual
TYRON MALLARD
Active
Individual
TYRON MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LMHC, CPC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
03303
KS
101YP2500X
Professional Counselor
Primary
2023031673
MO
101YP2500X
Professional Counselor
CP0227
NV
104100000X
Social Worker
10247-M
NV
104100000X
Social Worker
12971
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP0227
—
NV
Enumeration date
08/18/2015
Last updated
11/19/2025
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