Individual
SARA MARIE MALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
4700 GORDON DR STE 202, SIOUX CITY, IA 51106-1911
(612) 227-3640
Mailing address
4277 E YELLOWSTONE PL, CHANDLER, AZ 85249-0510
(712) 898-3185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122115
IA
Other
Enumeration date
05/07/2024
Last updated
05/08/2024
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