Individual
ALLISON MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
509 AVE F, FORT MADISON, IA 52627
(319) 372-3566
(319) 372-8074
Mailing address
3454 175TH ST, WEVER, IA 52658
(319) 750-0521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09136
IA
1041C0700X
Clinical Social Worker
Primary
100241
IA
Other
Enumeration date
05/21/2019
Last updated
05/23/2024
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