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Individual

NYELA FISHER-MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
8644 S 86TH AVE, 113, JUSTICE, IL 60458-2111
(708) 546-0806
Mailing address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 932-3513

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/05/2014
Last updated
11/05/2014
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