Individual
MS. ANITA L MALLICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 NEW SALEM RD, SUITE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
(724) 437-2761
Mailing address
100 NEW SALEM RD, SUITE 116, UNIONTOWN, PA 15401-8936
(724) 437-0729
(724) 437-2761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013267
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160263
TRICARE
—
01
—
2755395
MAGELLAN
—
01
—
879199
HIGHMARK
—
Enumeration date
06/26/2006
Last updated
07/08/2007
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