Individual
MISS EVA MARIA MALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
150 CHESTNUT ST, 3RD FLOOR, PROVIDENCE, RI 02903-4645
(401) 680-6124
Mailing address
128 SHIRLEY BLVD, CRANSTON, RI 02910-3327
(801) 541-3186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00509
RI
Other
Enumeration date
07/12/2011
Last updated
05/20/2012
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