Thad Malik

NPI #1982177689 in Prescott, Arizona

Provider Information

NPI Number: 1982177689
Entity Type: Individual
Name: Thad Malik
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Foster Care Agency
Enumeration Date: Jan 4, 2019
Last Updated: Jan 4, 2019

Practice Location

Address: 1708 SEQUOIA DR
City: Prescott
State: Arizona
ZIP Code: 86301-1243
Phone: (248) 825-5715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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