Individual
COLLEEN MALONEY GARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
38886 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1903834
OH
1041C0700X
Clinical Social Worker
S.1903834
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0367800
—
OH
Enumeration date
12/28/2017
Last updated
02/24/2022
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