Individual
RUTH MALAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
Mailing address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015548
MI
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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