Individual
MOLLY TRIBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(773) 312-0883
Mailing address
3819 N GREENVIEW AVE APT 3S, CHICAGO, IL 60613-2754
(219) 616-4715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178011666
IL
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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