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Individual

DANA LOUISE MALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
167 MAIN ST, TUBA CITY, AZ 86045
(928) 283-2446
Mailing address
PO BOX 2960, PAGE, AZ 86040-2960
(928) 640-0345

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-20592
AZ

Other

Enumeration date
02/15/2023
Last updated
02/15/2023
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