Provider Demographics
NPI:1639270713
Name:HUGHES-MALONEY, DENISE JENNIFER (BS)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:JENNIFER
Last Name:HUGHES-MALONEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SW PAUL REVERE TER
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2346
Mailing Address - Country:US
Mailing Address - Phone:772-528-1385
Mailing Address - Fax:772-878-4720
Practice Address - Street 1:833 SW PAUL REVERE TER
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2346
Practice Address - Country:US
Practice Address - Phone:772-528-1385
Practice Address - Fax:772-878-4720
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker