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Individual

PRINCESS MELKALI VERNAY MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19 W 24TH ST, NEW YORK, NY 10010-3203
(817) 832-5858
Mailing address
5441 DURHAM AVE, FORT WORTH, TX 76114-4532
(817) 832-5858

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/25/2025
Last updated
07/25/2025
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