Individual
MRS. GINA MARIE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1007 N MAIN ST, DAYVILLE, CT 06241-2123
(860) 774-2020
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2123
(860) 774-2020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
09/18/2009
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