Individual
MRS. CARRIE JENNIFER MALACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28980 N EDWARDS RD, SAN TAN VALLEY, AZ 85143-5753
(480) 525-9962
Mailing address
28980 N EDWARDS RD, SAN TAN VALLEY, AZ 85143-5753
(480) 525-9962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12702
MD
1041C0700X
Clinical Social Worker
13027
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-13027
AZ
Other
Enumeration date
09/29/2009
Last updated
04/26/2022
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