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Individual
MR. ANTHONY JAMES MALLIA
Active
Individual
MR. ANTHONY JAMES MALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10235
SC
Other
Enumeration date
12/03/2020
Last updated
02/10/2025
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