Individual
MS. MINIROSE J MALIEKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
407 N BROADVIEW AVE, LOMBARD, IL 60148-1524
(630) 615-9137
Mailing address
407 N BROADVIEW AVE, LOMBARD, IL 60148-1524
(630) 615-9137
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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