Individual
JOSEPHINE MALOTANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3699
(603) 668-4111
Mailing address
2 WALL ST STE 200, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
247200000X
Other Technician
RBT-21-160703
CO
Other
Enumeration date
04/29/2022
Last updated
04/14/2025
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