Individual
WENDY L. MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
106 S LINCOLNWAY STE B, NORTH AURORA, IL 60542-1597
(630) 544-0188
Mailing address
4147 CALLERY RD, NAPERVILLE, IL 60564-5006
(630) 544-0188
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000926
IL
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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