Individual
MS. JUDY LYNN MALSCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2115 E 3RD ST, BLOOMINGTON, IN 47401-5306
(812) 339-6362
(812) 323-1620
Mailing address
2115 E AST 3RD STREET, BLOOMINGTON, IL 47408
(812) 339-6362
(812) 323-1620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
H12783794000000891
IN
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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