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Individual

ANNETTE S MALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
5 HIGH ST, SOUTH DARTMOUTH, MA 02748-3808
(508) 942-1103
(781) 396-1439

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
207323
MA

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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