Individual
ALLISON DENISE ELDRIDGE MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
643 S MAIN ST, UKIAH, CA 95482-4985
(707) 391-6719
Mailing address
643 S MAIN ST, UKIAH, CA 95482-4985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113941
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/11/2023
Last updated
07/15/2024
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