ALEXANDER SCOTT MALM

LODI, CA
NPI1962743906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-14
Last Update Date2013-03-14
Business Address
-- ALEXANDER SCOTT MALM
1300 W LODI AVE G-2
LODI, CA 95242-3000
Phone number: 209-334-2126
Mailing Address
-- ALEXANDER SCOTT MALM
1300 W LODI AVE G-2
LODI, CA 95242-3000
Phone number: 209-334-2126
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