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Mrs. Malinda Irene Grow
Mental Health Counselor in Fort Walton Beach, Florida
NPI 1164092714

Malinda Irene Grow is a Mental Health Counselor based in Fort Walton Beach, FL and is specialized in Mental Health. Malinda Irene Grow practices in Fort Walton Beach, FL. The NPI Number for Malinda Irene Grow is 1164092714 and holds a License No. (Florida).

The current practice location address for Malinda Irene Grow is 103 Lewis St, Fort Walton Beach, FL and can be reached out via phone at 850-362-6824.

Location: 103 Lewis St, Fort Walton Beach, FL, 32547-1635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164092714
Provider Name
Malinda Irene Grow
Credential
Provider Entity Type
Individual
Gender
Female
Address
103 Lewis St, Fort Walton Beach, FL, 32547-1635
Phone Number
850-362-6824
Fax Number
Provider Enumeration Date
06/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Lewis St
City
Fort Walton Beach
State
Florida
Zip
32547-3142
Phone Number
850-362-6824
Fax Number
person
Provider Business Mailing Address Details
Address
103 Lewis St
City
Fort Walton Beach
State
Florida
Zip
32547-3142
Phone Number
850-362-6824
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Florida)
Definition
Definition to come...
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