Individual
ANNE T. MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36 E FRONT ST, #3, MEDIA, PA 19063-2936
(610) 565-2636
Mailing address
36 E FRONT ST, #3, MEDIA, PA 19063-2936
(610) 565-2636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013410
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259832000
MAGELLAN BEHAVIORAL HEALT
PA
01
—
44758206
UNITED BEHAVIORAL HEALTH
PA
05
—
724562
—
PA
Enumeration date
08/30/2006
Last updated
03/26/2010
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