Individual
MALLORY NAMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11594 RICHMOND LN, HUNTLEY, IL 60142-7047
(217) 979-3591
Mailing address
11594 RICHMOND LN, HUNTLEY, IL 60142-7047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150110749
IL
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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