Individual
COREY JAMIAN MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2851 SKIPPER ST, THE VILLAGES, FL 32163-0387
(917) 836-2646
Mailing address
2851 SKIPPER ST, THE VILLAGES, FL 32163-0387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW21896
FL
Other
Enumeration date
10/04/2016
Last updated
08/08/2023
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