Individual
DACEIA A MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4137
Mailing address
232 E GISH RD, SAN JOSE, CA 95112-4706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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