Individual
NICOLE MARIE MALAZARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(773) 679-2803
Mailing address
148 CLYDE AVE # G, EVANSTON, IL 60202-4015
(773) 679-2803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107148
IL
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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