Nicole Lavonne Malstrom

NPI #1043813090 in Ephraim, Utah

Provider Information

NPI Number: 1043813090
Entity Type: Individual
Name: Nicole Lavonne Malstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 68 N 180 W
City: Ephraim
State: Utah
ZIP Code: 84627-2130
Phone: (435) 283-9932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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