Individual
MRS. AMANDA MALCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LLP,FAODP
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Mailing address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012400
MI
Other
Enumeration date
11/21/2008
Last updated
12/02/2008
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