Provider Demographics
NPI:1700348208
Name:MCCLOSKEY, MALORI (QMHC)
Entity Type:Individual
Prefix:
First Name:MALORI
Middle Name:
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:QMHC
Other - Prefix:
Other - First Name:MALORI
Other - Middle Name:
Other - Last Name:BARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CURTICE
Mailing Address - State:OH
Mailing Address - Zip Code:43412-9738
Mailing Address - Country:US
Mailing Address - Phone:419-705-6319
Mailing Address - Fax:
Practice Address - Street 1:3335 MEIJER DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617
Practice Address - Country:US
Practice Address - Phone:734-347-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker