Individual
MALLORY MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
321 N MARKET ST, LANCASTER, PA 17603-3003
(717) 394-5334
Mailing address
321 N MARKET ST, LANCASTER, PA 17603-3003
(717) 394-5334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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