Organization
AUDRA MALCOMB CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA MALCOMB MSW/CSW-PIP (PRESIDENT/CEO)
(605) 381-0049
Entity
Organization
Contact information
Practice address
1929 RED DALE DR, RAPID CITY, SD 57702-3231
(605) 381-0049
Mailing address
1929 RED DALE DR, RAPID CITY, SD 57702-3231
(605) 381-0049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2125
SD
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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