Individual
KEVIN LEE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 EVERSMAN DR, JASPER, IN 47546-3548
(812) 304-9715
Mailing address
480 EVERSMAN DR, JASPER, IN 47546-3548
(812) 304-9715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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