STACY MALM

CHICAGO, IL
NPI1104878008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IL  180005923)
Enumeration Date2006-05-17
Last Update Date2007-11-29
Business Address
-- STACY MALM LCPC
3401 N CENTRAL AVE
CHICAGO, IL 60634-4426
Phone number: 773-286-8822
Mailing Address
-- STACY MALM LCPC
3401 N CENTRAL AVE
CHICAGO, IL 60634-4426
Phone number: 773-286-8822
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