Individual
ANDREA MARUZS MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4516 E HIGHWAY 20 # 3053, NICEVILLE, FL 32578-9755
(448) 256-6190
Mailing address
4516 E HIGHWAY 20 # 3053, NICEVILLE, FL 32578-9755
(448) 256-6190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11992
FL
Other
Enumeration date
08/31/2012
Last updated
10/06/2023
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