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Provider Information for 1396525754


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MELISA D. MALING LCSW


Sex: Female

NPI: 1396525754
Last Updated: 2023-10-03
Certification Date: 2023-10-03

Details

NameValue
NPI1396525754
Enumeration Date2023-10-03
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2861 STERLING DR
LOVELAND, CO 80538-8664
United States

Phone: 970-342-5741 | Fax:
 
Primary Practice Address 2861 STERLING DR
LOVELAND, CO 80538-8664
United States

Phone: 970-342-5741 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCO991658