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Individual
MALLORY HANNAH MINCBERG
Active
Individual
MALLORY HANNAH MINCBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12810
CA
101YM0800X
Mental Health Counselor
73137
TX
Other
Enumeration date
10/09/2018
Last updated
03/20/2023
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