John Gordon Malis, MSW, LICSW
NPI #1346270196 in Newburyport, Massachusetts
Provider Information
- NPI Number
- 1346270196
- Entity Type
- Individual
- Name
- John Gordon Malis, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 184 STATE ST
- City
- Newburyport
- State
- Massachusetts
- ZIP Code
- 01950-6637
- Phone
- (978) 463-6929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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