Individual
MALLORY BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 W JACKSON BLVD STE 1415, CHICAGO, IL 60604-4171
(312) 360-1983
(312) 360-1984
Mailing address
111 S MORGAN ST APT 502, CHICAGO, IL 60607-2728
(425) 829-0777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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