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Organization
NICOLE MALLIS LCSW LLC
Active
Organization
NICOLE MALLIS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MALLIS LCSW (OWNER)
(484) 734-0746
Entity
Organization
Contact information
Practice address
835 W CHESTER PIKE, WEST CHESTER, PA 19382-4848
(215) 630-2955
Mailing address
10 MARY FRAN DR, WEST CHESTER, PA 19382-6310
(215) 630-2955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
05/06/2026
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