Individual
MS. SHERRY KAYE MALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
474 HAGEN WAY, LAKE HAVASU CITY, AZ 86406-7537
(928) 855-4445
Mailing address
474 HAGEN WAY, LAKE HAVASU CITY, AZ 86406-7537
(928) 855-4445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC10672
AZ
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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