Individual
LISA A. MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
830 COUNTY RD, POCASSET, MA 02559-2110
(508) 564-9637
(508) 280-5308
Mailing address
32 KIMBERLY WAY, COTUIT, MA 02635-2423
(508) 280-5308
(508) 280-5308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1022268
MA
Other
Enumeration date
05/30/2006
Last updated
09/18/2014
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