Organization
MALLORY C ROSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY COOPER ROSE LMFT (MARRIAGE AND FAMILY THERAPIST)
(214) 402-7500
Entity
Organization
Contact information
Practice address
3305 ROBINCREST DR, NORTHBROOK, IL 60062-5126
(214) 402-7500
Mailing address
3305 ROBINCREST DR, NORTHBROOK, IL 60062-5126
(214) 402-7500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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