Individual
MRS. MALLORY ROCHLLE RICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 OLIVIA DR, MARION, IL 62959-1383
(618) 926-3448
Mailing address
308 OLIVIA DR, MARION, IL 62959-1383
(618) 926-3448
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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