Individual
WALTER THURSTON MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 S LIMESTONE, LEXINGTON, KY 40508-4008
(859) 257-7685
Mailing address
1228 PLEASANT RIDGE DR, LEXINGTON, KY 40509-2074
(269) 808-2577
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
274839
MI
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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