Individual
MR. THOMAS MALONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1500 E WOODROW WILSON AVE, 116C, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1325
Mailing address
523 PAWNEE WAY, MADISON, MS 39110-9216
(601) 856-4817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M4979
MS
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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