Individual
BROOKE MORGAN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1110 W PARK PL STE 303, COEUR D ALENE, ID 83814-2784
(208) 261-2255
(208) 473-7271
Mailing address
2684 W LUMBER LN, COEUR D ALENE, ID 83814-7419
(607) 761-3443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8971299
ID
1041C0700X
Clinical Social Worker
SC61321313
WA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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