Individual
JERILYNN MALLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5633
(563) 243-9567
Mailing address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5633
(563) 243-9567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05281
IA
Other
Enumeration date
05/30/2006
Last updated
07/09/2007
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