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1114784501
MALLORY PRIMM
CHICAGO, IL
NPI
1114784501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.011172)
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
MALLORY PRIMM
25 E WASHINGTON ST STE 1717
CHICAGO, IL 60602-1839
Phone number: 312-566-8536
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Mailing Address
MALLORY PRIMM
5246 W CARMEN AVE
CHICAGO, IL 60630-2211
Phone number:
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