Organization
DR. GENEVIEVE MALTBY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE MALTBY (OWNER)
(815) 962-5585
Entity
Organization
Contact information
Practice address
861 N MADISON ST STE 5, ROCKFORD, IL 61107-3058
(815) 871-2410
Mailing address
861 N MADISON ST STE 5, ROCKFORD, IL 61107-3058
(815) 871-2410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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