Individual
MALAKEIA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3750 PALLADIAN VILLAGE DR STE 110, MARIETTA, GA 30066-8202
(678) 265-8361
Mailing address
3750 PALLADIAN VILLAGE DR, MARIETTA, GA 30066-8200
(678) 265-8361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421205
—
SC
Enumeration date
09/29/2015
Last updated
01/08/2025
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