Desirae Terissa Malave

NPI #1568109221 in Chicopee, Massachusetts

Provider Information

NPI Number: 1568109221
Entity Type: Individual
Name: Desirae Terissa Malave
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 15, 2022
Last Updated: May 15, 2022

Practice Location

Address: 10 CENTER ST
City: Chicopee
State: Massachusetts
ZIP Code: 01013-2680
Phone: (413) 540-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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