Healthcare Provider Details

I. General information

NPI: 1669707907
Provider Name (Legal Business Name): VALERIE ANN MALONEY LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S 2ND ST
SHEPHERD MI
48883-8057
US

IV. Provider business mailing address

202 S 2ND ST P.O. BOX 131
SHEPHERD MI
48883-8057
US

V. Phone/Fax

Practice location:
  • Phone: 989-828-4743
  • Fax:
Mailing address:
  • Phone: 989-828-4743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801090260
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: