Individual
MIRANDA ANN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1635 W NATIONAL AVE, MILWAUKEE, WI 53204-1130
(414) 672-1353
(414) 897-0191
Mailing address
1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
100959
NY
1041C0700X
Clinical Social Worker
Primary
9766
WI
Other
Enumeration date
08/30/2017
Last updated
10/12/2023
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