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Organization

KERRI MALONE, LICSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRICK MALONE LICSW (CLINICAL SOCIAL WORKER)
(615) 498-4174
Entity
Organization

Contact information

Practice address
400 VESTAVIA PKWY STE 406, VESTAVIA, AL 35216-3763
(615) 498-4174
Mailing address
504 LAKESHORE DR, BIRMINGHAM, AL 35209-6712
(615) 498-4174

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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