Individual
GLENN EMERY MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC
Contact information
Practice address
5 N 3RD AVE W STE 310, DULUTH, MN 55802-1614
(218) 740-2349
Mailing address
5 N 3RD AVE W STE 310, DULUTH, MN 55802-1614
(218) 740-2349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25714
MN
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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