Ilene Malt
Ilene Malt is a Clinical Social Worker in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1330 Lincoln Ave Ste 307San Rafael, CA 94901-2120
Phone: (415) 454-2734
Fax: (415) 454-2734
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence LCS12371 (CA) |
|---|
Record details
| NPI number | 1922211036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2007 |
| Last updated in NPPES | July 8, 2007 |
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