Individual
DIMITRI YERIK MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(435) 862-4913
Mailing address
1200 N WHITE SANDS BLVD STE 121, ALAMOGORDO, NM 88310-6774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/29/2021
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