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1487906863
TELICE MALLORY
CHICAGO, IL
NPI
1487906863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
TELICE MALLORY
7218 S FRANCISCO AVE
CHICAGO, IL 60629-3009
Phone number: 773-507-6713
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Mailing Address
TELICE MALLORY
7218 S FRANCISCO AVE
CHICAGO, IL 60629-3009
Phone number: 773-507-6713
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