Individual
MALLORY GULLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 REVERE DR, NORTHBROOK, IL 60062-1585
(331) 256-0020
Mailing address
681 E PEACHTREE LN, ROUND LAKE BEACH, IL 60073-4914
(331) 256-0020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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