Individual
LAURA MARIE MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1041 STRAWBERRY ST, DUNDEE, MI 48131-1048
(517) 403-3966
Mailing address
1041 STRAWBERRY ST, DUNDEE, MI 48131-1048
(517) 403-3966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401016363
LICENSE
MI
Enumeration date
02/05/2018
Last updated
06/10/2025
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