Individual
ALLURA MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 BOARDWALK ST STE 201, ANN ARBOR, MI 48108-5218
(734) 222-9277
Mailing address
1609 N MELITA RD, STERLING, MI 48659-9766
(989) 942-6157
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017966
MI
103TC0700X
Clinical Psychologist
Primary
6301019210
MI
Other
Enumeration date
09/06/2019
Last updated
11/20/2022
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