Individual
ANGELA G MALLOWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
411 MAIN ST, YARMOUTH PORT, MA 02675-1843
(508) 221-1224
Mailing address
194 MAIN ST, BREWSTER, MA 02631-1037
(508) 221-1224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10000840
MA
Other
Enumeration date
09/09/2020
Last updated
09/18/2023
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