Individual
SYDNEY MIKAYLA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 VISCANIO PL, LAS VEGAS, NV 89138-7570
(702) 675-4953
Mailing address
4515 S DURANGO DR APT 1033, LAS VEGAS, NV 89147-6076
(530) 305-7246
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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