Individual
AMY B MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6040 LINCOLN AVE, LISLE, IL 60532-3392
(630) 524-4000
(630) 524-2311
Mailing address
615 S STONE AVE, LA GRANGE, IL 60525-2723
(708) 712-1984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.002188
IL
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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