| NPI | 1912032046 |
|---|---|
| Other Name | J DAVID MALONE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 106573) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW00418) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |