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1114220837
TRISHA P MALOTT
SPRINGFIELD, IL
NPI
1114220837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149013615)
Enumeration Date
2010-12-20
Last Update Date
2011-06-22
Business Address
TRISHA P MALOTT LCSW
901 W JEFFERSON ST
SPRINGFIELD, IL 62702-4833
Phone number: 217-545-8229
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Mailing Address
TRISHA P MALOTT LCSW
PO BOX 19642
SPRINGFIELD, IL 62794-9642
Phone number: 217-545-8229
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