Individual
MALIA P. DELOHERY-DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2730 PACIFIC BLVD SE, ALBANY, OR 97321-5075
(541) 967-3866
(541) 672-7146
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 672-7146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2855
CLINICAL SOCIAL WORKER LICENSE
OR
Enumeration date
02/27/2007
Last updated
06/27/2019
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