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Individual
STEPHEN JOHN MALICH
Active
Individual
STEPHEN JOHN MALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1577
OH
106H00000X
Marriage & Family Therapist
FO55
OH
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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