Individual
MS. MATTHEW GLEN MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 AGATE HEIGHTS RD, BELLINGHAM, WA 98226-9472
(360) 667-6000
Mailing address
1526 DALLMAN RD, CAMANO ISLAND, WA 98282-8224
(360) 631-8486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
251B00000X
Case Management Agency
Primary
—
WA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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