Search › Arizona › Foster Care Agency
Thad Malik
NPI 1982177689 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1708 Sequoia Dr
Prescott, AZ 86301 - Phone
- (248) 825-5715
Registry record
- Primary taxonomy
- Foster Care Agency
253J00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona