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Individual

TAMBRA MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1414 7TH AVENUE, GLENMORA, LA 71433
(318) 748-8974
(318) 748-8986
Mailing address
60 VARVAROSKY RD, DEVILLE, LA 71328-9378
(318) 446-1539

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5214
LA

Other

Enumeration date
07/06/2011
Last updated
09/08/2021
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