| Kerri Malone, Licsw, Llc | |
|
400 Vestavia Pkwy Ste 406 Vestavia AL 35216-3763 | |
| (615) 498-4174 | |
| Not Available |
| Full Name | Kerri Malone, Licsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 Vestavia Pkwy Ste 406, Vestavia, Alabama |
| Authorized Official Name and Position | Kerrick Malone (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6154984174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri Malone, Licsw, Llc 504 Lakeshore Dr Birmingham AL 35209-6712 Ph: (615) 498-4174 | Kerri Malone, Licsw, Llc 400 Vestavia Pkwy Ste 406 Vestavia AL 35216-3763 Ph: (615) 498-4174 |
| NPI Number | 1639954639 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639954639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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