Individual
ANDREA MALSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2513 S WESTNEDGE AVE, KALAMAZOO, MI 49008-2481
(269) 350-4182
Mailing address
PO BOX 51011, KALAMAZOO, MI 49005-1011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005002
MI
Other
Enumeration date
06/22/2010
Last updated
08/07/2023
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