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Individual

MALLORY EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2405 N FRONT ST, HARRISBURG, PA 17110-1155
(484) 928-0709
(717) 763-8653
Mailing address
212 FOX DR, MECHANICSBURG, PA 17050-2515
(610) 772-5082

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/31/2012
Last updated
03/13/2024
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