Laura Ellen Malley, LPC

NPI #1073654059 in Wood River, Illinois

Provider Information

NPI Number: 1073654059
Entity Type: Individual
Name: Laura Ellen Malley, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Feb 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 549 N 1ST ST
City: Wood River
State: Illinois
ZIP Code: 62095-1504
Phone: (618) 254-2911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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