EVELYN MALLEA, CHTD
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1770671372- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1002 SHOSHONE ST E, TWIN FALLS, ID, 833016338
- Phone
- (208) 734-7714
- Fax
- (208) 735-8537
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #LCSW779