Individual
MALISSA ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
755 ALMAR PKWY STE A, BOURBONNAIS, IL 60914-2393
(630) 428-7890
Mailing address
787 DOUBLE JACK ST APT 2, BOURBONNAIS, IL 60914-9229
(312) 890-4541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.106833
IL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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