Telice Mallory
Telice Mallory is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
7218 S Francisco AveChicago, IL 60629-3009
Phone: (773) 507-6713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1487906863 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2012 |
| Last updated in NPPES | October 9, 2012 |
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