Shannen Faye Malutinok, LCSW

NPI #1023313087 in Athens, Georgia

Provider Information

NPI Number
1023313087
Entity Type
Individual
Name
Shannen Faye Malutinok, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 21, 2011
Last Updated
Jan 21, 2011

Practice Location

Address
1 HUNTINGTON RD STE 103
City
Athens
State
Georgia
ZIP Code
30606-7205
Phone
(706) 850-7041

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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