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Individual

LISA MARIE MALCOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
340 NE MAPLE, PULLMAN, WA 99163
(509) 334-1133
(509) 332-1608
Mailing address
1035 NW NYE ST STE A, PULLMAN, WA 99163-3428
(509) 386-3908

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
WA
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/13/2011
Last updated
08/25/2025
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