BRIAN C MALLIETT

BOURBONNAIS, IL
NPI1316456536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist School
(Licence: IL  1907241)
Enumeration Date2017-09-20
Last Update Date2022-07-21
Business Address
DR. BRIAN C MALLIETT EDD
1466 HUNTERS RUN DR
BOURBONNAIS, IL 60914-4520
Phone number: 815-474-9550
Mailing Address
DR. BRIAN C MALLIETT EDD
1466 HUNTERS RUN DR
BOURBONNAIS, IL 60914-4520
Phone number: 815-474-9550
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