Individual
MRS. MICHELE LYNN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4331 THURMON TANNER RD # GA30542, FLOWERY BRANCH, GA 30542-2829
(678) 513-5831
Mailing address
4331 THURMON TANNER RD # GA30542, FLOWERY BRANCH, GA 30542-2829
(678) 513-5831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
004511
GA
1041C0700X
Clinical Social Worker
Primary
CSW004629
GA
Other
Enumeration date
04/06/2009
Last updated
03/02/2012
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