Individual
JOY S MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7977
(262) 970-4791
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7977
(262) 970-4791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6920-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6920-123
STATE LICENSE
WI
Enumeration date
12/20/2006
Last updated
07/08/2007
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