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General NPI Number Information
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NPI Number | 1871736553
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Entity Type | Individual
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Provider Name | KATHLEEN FRANCES MALSKY LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2009
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 250 MONTAUK HWY.
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City | EAST MORICHES
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State | NY
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Zip | 11940
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Country | US
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Telephone | 631-514-5790
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Fax | 631-801-2501
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Provider Business Mailing Address
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Address Line | 34 MANORVIEW WAY
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City | MANORVILLE
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State | NY
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Zip | 11949
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Country | US
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Telephone | 631-514-5790
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Fax | 631-801-2501
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 082688-1
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License Number State | NY
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