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George Mallinckrodt
Mental Health Counselor in Hollywood, Florida
NPI 1801350400

George Mallinckrodt is a Mental Health Counselor based in Ft Lauderdale, FL and is specialized in Mental Health. George Mallinckrodt practices in Hollywood, FL. The NPI Number for George Mallinckrodt is 1801350400 and holds a License No. MH6922 (Florida).

The current practice location address for George Mallinckrodt is 901 S 62Nd Ave, Hollywood, FL and can be reached out via phone at 561-790-1191.

Location: 901 S 62Nd Ave, Hollywood, FL, 33308-6105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801350400
Provider Name
George Mallinckrodt
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 S 62Nd Ave, Hollywood, FL, 33308-6105
Phone Number
561-790-1191
Fax Number
Provider Enumeration Date
01/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 S 62Nd Ave
City
Hollywood
State
Florida
Zip
33023-1848
Phone Number
561-790-1191
Fax Number
person
Provider Business Mailing Address Details
Address
901 S 62Nd Ave
City
Hollywood
State
Florida
Zip
33023-1848
Phone Number
561-790-1191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH6922 (Florida)
Definition
Definition to come...
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