Individual
AMANDA NICOLE MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
14949 62ND ST N, STILLWATER, MN 55082-6132
(651) 430-6512
Mailing address
14949 62ND ST N, STILLWATER, MN 55082-6132
(651) 430-6512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27736
MN
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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