Individual
MR. AARON MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
340 E 51ST ST, CHICAGO, IL 60615-3509
(773) 966-0333
(773) 966-0335
Mailing address
222 S JEFFERSON ST, CHICAGO, IL 60661-5603
(312) 441-9009
(312) 441-9019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019230
IL
1041C0700X
Clinical Social Worker
149.019230
IN
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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