Individual
ERIN MALKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 205-4171
Mailing address
2620 KENTUCKY AVE S, SAINT LOUIS PARK, MN 55426-3308
(612) 205-4171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306103
MN
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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