Individual
JANET A MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 205-2703
Mailing address
9083 MENTOR AVE, MENTOR, OH 44060-6462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161963
OH
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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