Individual
MALACHI KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAPC
Contact information
Practice address
1200 W 35TH ST STE 5B5220, CHICAGO, IL 60609-1305
(312) 548-9051
Mailing address
1200 W 35TH ST STE 5B5220, CHICAGO, IL 60609-1305
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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