Individual
MARIELLEN HEFFERNAN MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
13 ELDER LN, LA GRANGE, IL 60525-5819
(708) 352-8972
Mailing address
13 ELDER LN, LA GRANGE, IL 60525-5819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056006818
IL
Other
Enumeration date
01/11/2007
Last updated
07/22/2022
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