Individual
MS. ELEANOR M MALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW -S LICDC-CS
Contact information
Practice address
909 SYCAMORE ST, CINCINNATI, OH 45202-1305
(513) 618-4217
Mailing address
909 SYCAMORE ST, CINCINNATI, OH 45202-1305
(513) 618-4217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
944072
OH
1041C0700X
Clinical Social Worker
I7005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I7005 944072
—
OH
Enumeration date
11/21/2006
Last updated
07/08/2016
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