Individual
JASON MALLONEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
410 WINDWARD WAY, KALISPELL, MT 59901
(406) 751-8326
Mailing address
410 WINDWARD WAY, KALISPELL, MT 59901
(406) 751-8326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-12545
MT
Other
Enumeration date
12/31/2012
Last updated
10/16/2015
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