Individual
MISS ALISON DIANE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
61 COLONY STREET, MERIDEN, CT 06450
(203) 235-2507
(203) 639-6509
Mailing address
112 WALNUT ST, WATERTOWN, MA 02472-4028
(860) 573-4136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006396
CT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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