Provider Information for 1477095859
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Ms. ROSE CATRIONA MALCOLM LPC
Sex: Female
NPI: 1477095859
Last Updated: 2020-05-04
Certification Date: 2020-05-04
Certification Date: 2020-05-04
Details
Name | Value | ||||||||||||||
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NPI | 1477095859 | ||||||||||||||
Enumeration Date | 2016-11-16 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 7092 PARMA PARK BLVD PARMA HEIGHTS, OH 44130-5008 United States Phone: 440-334-6368 | Fax: | ||||||||||||||
Primary Practice Address | 601 SR 224 GLANDORF, OH 45848 United States Phone: 419-538-6000 | Fax: | ||||||||||||||
Secondary Practice Address(es) | 283 W WOODSIDE TER | ||||||||||||||
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