Individual
MRS. GLORIA ADELAIDE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP00002069
Contact information
Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 333-3627
Mailing address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 333-3627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002069
WA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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