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Individual

CRISTAL MALLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
100 S BROAD ST STE 1920, PHILADELPHIA, PA 19110-1064
(267) 838-0066
Mailing address
1213 SYCAMORE AVE, EASTON, PA 18040-8234
(215) 776-5076

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001088

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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