Individual
MS. LISA MALCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
650 OFFICERS ROW, SUITE B, VANCOUVER, WA 98661-3836
(360) 513-3436
Mailing address
4849 SE 30TH AVE, 23, PORTLAND, OR 97202-4444
(503) 236-2213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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