Individual
DEBRA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136-142 1/2 SOUTH CLINTON, BRADLEY, IL 60915
(815) 939-2313
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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