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Individual
MALINDA J MYERS
Active
Individual
MALINDA J MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW127316
PA
101YM0800X
Mental Health Counselor
SW127316
PA
1041C0700X
Clinical Social Worker
Primary
CW016782
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103221788
—
PA
01
—
1E6643
MEDICARE
PA
Enumeration date
10/06/2009
Last updated
04/15/2021
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