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General NPI Number Information
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NPI Number | 1265641336
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Entity Type | Organization
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Legal Business Name | MALEN AND ASSOCIATES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 759 N. MILWAUKEE ST SUITE 600
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City | MILWAUKEE
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State | WI
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Zip | 53202
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Country | US
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Telephone | 414-271-1718
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Fax |
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Provider Business Mailing Address
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Address Line | 759 N MILWAUKEE ST SUITE 600
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City | MILWAUKEE
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State | WI
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Zip | 53202-3795
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Country | US
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Telephone | 414-271-1718
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | CAROLEE SUE MALEN
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Credential |
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Telephone | 414-271-1718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2604123
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License Number State | WI
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