Individual
JOHN A MALLINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
6701 N BROAD ST, PHILADELPHIA, PA 19126-2837
(215) 276-3922
Mailing address
6701 N BROAD ST, PHILADELPHIA, PA 19126-2837
(215) 276-3922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
11/22/2013
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