Evelyn Mallea, Chtd

NPI #1770671372 in Twin Falls, Idaho

Provider Information

NPI Number: 1770671372
Entity Type: Organization
Organization Name: Evelyn Mallea, Chtd
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1002 SHOSHONE ST E
City: Twin Falls
State: Idaho
ZIP Code: 83301-6338
Phone: (208) 734-7714

Authorized Official

Name: MS. EVELYN MALLEA, LCSW
Title: OWNER
Phone: (208) 734-7714

Specialties & Taxonomy Codes

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

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