Individual
JARED M MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2201 N IRONWOOD PL STE 100, COEUR D ALENE, ID 83814-2670
(208) 769-4222
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
41928
ID
104100000X
Social Worker
—
ID
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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