Individual
DAWN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12114 LAMOTTES CT, REISTERSTOWN, MD 21136-4728
(443) 977-9393
Mailing address
PO BOX 93, GLYNDON, MD 21071-0093
(443) 790-7494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20482386
SDAT
MD
Enumeration date
01/09/2023
Last updated
01/09/2023
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