FERLANDO MALLORY

WAUKEGAN, IL
NPI1538531991
Other NameFERLANDO MALLORY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  23490)
Enumeration Date2015-10-26
Last Update Date2015-10-26
Business Address
-- FERLANDO MALLORY CADC
1113 W GREENWOOD AVE
WAUKEGAN, IL 60087-4908
Phone number: 847-244-4434
Mailing Address
-- FERLANDO MALLORY CADC
2411 YEOMAN ST
WAUKEGAN, IL 60087-3019
Phone number:
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