Individual
KATHLEEN L MALLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 W. MAIN ST. #12, BREVARD, NC 28712
(828) 508-5644
Mailing address
PO BOX 665, BREVARD, NC 28712-0665
(828) 508-5644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3433
NC
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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