Individual
CARLY MALOCSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 725-1572
Mailing address
200 WESTEDGE WAY APT 7209, LYNCHBURG, VA 24502-5889
(336) 870-8787
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-284935
VA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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