Individual
LEE MARTIN MALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
50 SUMMER ST, MILLINOCKET, ME 04462-1400
(207) 528-2285
(207) 528-2880
Mailing address
529 S PATTEN RD, PATTEN, ME 04765-3007
(207) 528-2285
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14148
ME
Other
Enumeration date
07/12/2011
Last updated
09/09/2020
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