Individual
EPHPHATHA F MALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 W INDIANA AVE, CHESTERTON, IN 46304-2457
(219) 921-0705
(219) 921-0557
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 413-5100
(219) 465-9507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006605A
IN
Other
Enumeration date
02/06/2013
Last updated
03/12/2021
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