Individual
HEATHER ROSE MALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
24750 SWANSON RD, SOUTHFIELD, MI 48033-5320
(248) 355-5800
Mailing address
27555 FRANKLIN RD APT 106, SOUTHFIELD, MI 48034-2373
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
04/15/2011
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