Individual
ELIZABETH MALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 W DIVERSEY PKWY, #3, CHICAGO, IL 60614-1208
(773) 895-0266
Mailing address
1344 W DIVERSEY PKWY, #3, CHICAGO, IL 60614-1208
(773) 895-0266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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