Individual
MS. CHRISTINA MALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW-C
Contact information
Practice address
232 COURT STREET, MACHIAS, ME 04654
(207) 255-3000
(207) 255-3030
Mailing address
PO BOX 746, MACHIAS, ME 04654-0746
(207) 255-3000
(207) 255-3030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSX14907
ME
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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