Individual
ERICA MALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1525 E 53RD ST, SUITE 425, CHICAGO, IL 60615-4557
(773) 458-3031
Mailing address
110 LAWRENCE LN, MATTESON, IL 60443-2933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016378
IL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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