Individual
SANDRA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 S PORTAGE PATH, AKRON, OH 44320-2326
(330) 315-4901
Mailing address
380 S PORTAGE PATH, AKRON, OH 44320-2326
(330) 315-4901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130246
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
11/07/2017
Last updated
11/07/2017
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