Individual
MALCOLM DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 W REED RD, GREENVILLE, MS 38701-6967
(662) 702-5108
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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