Individual
NICOLE MARIE MALYJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 E. OWEN CIRCLE, COLORADO SPRINGS, CO 80915
(719) 660-2818
Mailing address
1520 E OWEN CIR, COLORADO SPRINGS, CO 80915-2105
(719) 660-2818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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