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Individual
MR. STEVEN MICHAEL MALLORY
Active
Individual
MR. STEVEN MICHAEL MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
476
OK
101YM0800X
Mental Health Counselor
Primary
LPC1418
OK
Other
Enumeration date
11/21/2006
Last updated
06/27/2023
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