THALLISSIA MULDROW

GARY, IN
NPI1609282979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-07-08
Last Update Date2014-07-08
Business Address
-- THALLISSIA MULDROW
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- THALLISSIA MULDROW
10436 S FOREST AVE
CHICAGO, IL 60628-2841
Phone number: 219-885-4264