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1437588159
KIMBERLEY MICHELLE MALLOY
WATERLOO, IL
NPI
1437588159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180008895)
Enumeration Date
2013-11-04
Last Update Date
2024-02-23
Business Address
KIMBERLEY MICHELLE MALLOY LCPC
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1000
Phone number: 618-939-4444
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Mailing Address
KIMBERLEY MICHELLE MALLOY LCPC
988 N ILLINOIS ROUTE 3 PO BOX 146
WATERLOO, IL 62298-1000
Phone number: 618-939-4444
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