Lisa A. Malcolm LICSW

NPI 1093762528 - Social Worker - 104100000X

NPI Details
NPI 1093762528
Gender Female
Enumeration Date 05/30/2006
Last Updated 09/18/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
POCASSET MA, 02559-2110, US
Phone (508) 564-9637
Fax (508) 280-5308
Business Location
COTUIT MA, 02635-2423, US
Phone (508) 280-5308
Fax (508) 280-5308
Taxonomy Code 104100000X
License State Massachusetts
License Number 1022268
Remove 1093762528 NPI Number

According to our database, Lisa A. Malcolm LICSW NPI is 1093762528, taxonomy code is 104100000X and license number is 1022268, license state is located at Massachusetts. Lisa A. Malcolm LICSW physically located at 830 County Rd, Pocasset MA, 02559-2110. NPI Number Lisa A. Malcolm LICSW has the Individual type.

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1093762528 NPI number is provided on an as is basis without warranty of any kind. 1093762528 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A. Malcolm LICSW are for informational purposes only.