Individual
MR. CARLTON L MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,CAC,LADC,CCDP-D
Contact information
Practice address
30 SILVER ST, MIDDLETOWN, CT 06457-3906
(860) 334-7368
Mailing address
30 SILVER ST, MIDDLETOWN, CT 06457-3906
(860) 347-3682
(860) 347-3682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
11/19/2009
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