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MS. CYNTHIA ELLEN MALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1850 PINEVIEW DR, COLUMBIA, SC 29209-5085
(803) 783-0944
Mailing address
1850 PINEVIEW ROAD, COLUMBIA, SC 29209
(803) 783-0944

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
214196
SC

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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