Frederick James Malone, MSW,LCSW

NPI #1649493479 in Orofino, Idaho

Provider Information

NPI Number: 1649493479
Entity Type: Individual
Name: Frederick James Malone, MSW,LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW,LCSW
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 155 MAIN STREET
Address 2: SUITE B
City: Orofino
State: Idaho
ZIP Code: 83544
Phone: (208) 476-4230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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