Individual
ERIN REBECCA MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS D.T.
Contact information
Practice address
7420 N GREENVIEW AVE, APT. 3-S, CHICAGO, IL 60626-1919
(773) 381-5053
Mailing address
7420 N GREENVIEW AVE, APT. 3-S, CHICAGO, IL 60626-1919
(773) 381-5053
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/02/2008
Last updated
06/17/2008
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