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1114203320
MATTHEW GLEN MALCOLM
BELLINGHAM, WA
NPI
1114203320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
Ms. MATTHEW GLEN MALCOLM
3400 AGATE HEIGHTS RD
BELLINGHAM, WA 98226-9472
Phone number: 360-667-6000
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Mailing Address
Ms. MATTHEW GLEN MALCOLM
1526 DALLMAN RD
CAMANO ISLAND, WA 98282-8224
Phone number: 360-631-8486
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