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Data Detail

Name: Mallory Laine Malkin 

Designation: PhD.

Issue Date: 2/5/2016

Expiration Date: 6/30/2025

License Number: 55 980

Disciplinary Action: None

Company: Defense Health Agency (DHA), Dawson LLC

City: Petal

State: MS

Zip: 39465

Work Phone:   Ext:

Civil Commitment Certification: Yes