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Michelle Terry Mallen
Mental Health Counselor in Longwood, Florida
NPI 1013779842

Michelle Terry Mallen is a Mental Health Counselor based in Sanford, FL and is specialized in Mental Health. Michelle Terry Mallen practices in Longwood, FL. The NPI Number for Michelle Terry Mallen is 1013779842 and holds a License No. (Florida).

The current practice location address for Michelle Terry Mallen is 781 Ciara Creek Cv Ste 1011, Longwood, FL and can be reached out via phone at 407-699-5824.

Location: 781 Ciara Creek Cv Ste 1011, Longwood, FL, 32773-5560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013779842
Provider Name
Michelle Terry Mallen
Credential
Provider Entity Type
Individual
Gender
Female
Address
781 Ciara Creek Cv Ste 1011, Longwood, FL, 32773-5560
Phone Number
407-699-5824
Fax Number
Provider Enumeration Date
01/26/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
781 Ciara Creek Cv Ste 1011
City
Longwood
State
Florida
Zip
32750-4662
Phone Number
407-699-5824
Fax Number
person
Provider Business Mailing Address Details
Address
781 Ciara Creek Cv Ste 1011
City
Longwood
State
Florida
Zip
32750-4662
Phone Number
407-699-5824
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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