Frederick James Malone MSW,LCSW

NPI 1649493479 - Social Worker - 1041C0700X

NPI Details
NPI 1649493479
Gender Male
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
155 MAIN STREET
SUITE B
OROFINO ID, 83544, US
Phone (208) 476-4230
Fax (208) 476-4281
Business Location
PO BOX 324
OROFINO ID, 83544-0324, US
Phone (208) 476-4230
Fax (208) 476-4281
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW24594
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According to our database, Frederick James Malone MSW,LCSW NPI is 1649493479, taxonomy code is 1041C0700X and license number is LCSW24594, license state is located at Idaho. Frederick James Malone MSW,LCSW physically located at 155 Main Street, Orofino ID, 83544. NPI Number Frederick James Malone MSW,LCSW has the Individual type.

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1649493479 NPI number is provided on an as is basis without warranty of any kind. 1649493479 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick James Malone MSW,LCSW are for informational purposes only.