Roxanne Malin, LPE

NPI #1568571313 in Jackson, Tennessee

Provider Information

NPI Number: 1568571313
Entity Type: Individual
Name: Roxanne Malin, LPE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPE
Enumeration Date: Aug 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 45 EXECUTIVE DR
City: Jackson
State: Tennessee
ZIP Code: 38305-2337
Phone: (731) 664-2083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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