Individual
LAURA MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 PIERCE ST STE 100, SIOUX CITY, IA 51104-3871
(712) 255-8323
Mailing address
2212 PIERCE ST STE 100, SIOUX CITY, IA 51104-3871
(712) 255-8323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
120943
IA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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