Individual
MS. DENISE ANNE MALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
139 LARCH RD, CAMBRIDGE, MA 02138-3316
(617) 497-7370
Mailing address
46 EUSTIS ST APT 1, CAMBRIDGE, MA 02140-2205
(617) 868-5085
(617) 628-2595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3804
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM0978
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/25/2007
Last updated
07/08/2007
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