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1295868735
CHARLOTTE MALLON
NORTHBROOK, IL
NPI
1295868735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-003545)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- CHARLOTTE MALLON LCSW
255 REVERE DR
NORTHBROOK, IL 60062-1564
Phone number: 847-412-4352
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Mailing Address
-- CHARLOTTE MALLON LCSW
255 REVERE DR
NORTHBROOK, IL 60062-1564
Phone number: 847-412-4352
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