Malcolm, Larissa

Malcolm, Larissa is an sole proprietor health care provider with primary practice located at 144 E 194Th St , Euclid OH 44119-1030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Malcolm, Larissa can be contacted via phone (216) 789-9536.

Contact Information

Primary practice address
144 E 194Th St Euclid OH 44119-1030
Phone: (216) 789-9536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0026177 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1700018-SUPV Ohio

Profile Details

NPI number 1689058273
LBN Legal business name Malcolm, Larissa
Credentials LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2015
Last updated Dec 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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