Individual
CANAAN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 KILPATRICK BLVD, MONROE, LA 71201-5156
(318) 325-8050
Mailing address
3100 KILPATRICK BLVD, MONROE, LA 71201-5156
(318) 325-8050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/04/2021
Last updated
10/06/2022
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