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Individual

MRS. LINDA G MALCOM

Active
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Individual

MRS. LINDA G MALCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002870
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
270373
HEATHKEEPERS
VA
01
330036
OPTIMUM CHOICE
VA
01
4945310
VA PREMIER
VA
05
8904863
VA
01
O85800A
SENTARA FAMILY CARE
VA
Enumeration date
09/28/2005
Last updated
07/13/2026
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