Individual
AUDREY GRACE MALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 E HAMPDEN AVE, AURORA, CO 80014-3902
(303) 617-2300
Mailing address
7755 E QUINCY AVE APT T20, DENVER, CO 80237-2340
(337) 349-8450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
10/03/2022
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