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Individual

GENEVIEVE MALTBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
631 N LONGWOOD ST STE 103, ROCKFORD, IL 61107-4263
(815) 962-5585
Mailing address
617 CAMLIN AVE, ROCKFORD, IL 61103-4715
(815) 871-2410

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.021953
IL
104100000X
Social Worker
150-102991
IL
1041C0700X
Clinical Social Worker

Other

Enumeration date
10/24/2019
Last updated
05/30/2025
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