Individual
JUDITH MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
90 MACCORKLE AVE SW STE 201, CHARLESTON, WV 25303-1443
(304) 941-6256
Mailing address
3 SHAMBLIN PL, CHARLESTON, WV 25314-2154
(518) 320-4160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945211
WV
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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