Individual
MRS. COLETTE MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2510 WASHINGTON BLVD, OGDEN, UT 84401-3137
(801) 334-7217
(801) 334-8414
Mailing address
2510 WASHINGTON BLVD, OGDEN, UT 84401-3137
(801) 334-7217
(801) 334-8414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
274380-3501
UT
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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