Larissa Malcolm, LISW-S

NPI #1689058273 in Euclid, Ohio

Provider Information

NPI Number: 1689058273
Entity Type: Individual
Name: Larissa Malcolm, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW-S
Enumeration Date: Jul 14, 2015
Last Updated: Dec 7, 2020

Practice Location

Address: 144 E 194TH ST
City: Euclid
State: Ohio
ZIP Code: 44119-1030
Phone: (216) 789-9536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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