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Individual
KATHLEEN ANN MALLOY
Active
Individual
KATHLEEN ANN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA16853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ID# 138578
AMTA
—
Enumeration date
02/27/2008
Last updated
02/27/2008
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