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Individual

JANINE MALIN

Active
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Individual

JANINE MALIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW124718
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104048687
PA
01
13661446
CAQH ID
01
SW124718
STATE LICENSE - SOCIAL WORKER
PA
Enumeration date
11/20/2015
Last updated
03/03/2025
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