Individual
BRITTANY MALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2103 E WASHINGTON ST, SUITE 2G, BLOOMINGTON, IL 61701-4310
(630) 301-8487
Mailing address
1312 N. LINDEN ST, BLOOMINGTON, IL 61701
(630) 301-8487
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001082
IL
Other
Enumeration date
09/23/2016
Last updated
01/14/2017
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