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1710477823
IVY FAY MALISOW
OAK PARK, IL
NPI
1710477823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180011204)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
IVY FAY MALISOW LCPC
101 MADISON ST
OAK PARK, IL 60302-4278
Phone number: 708-859-8004
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Mailing Address
IVY FAY MALISOW LCPC
2919 N RACINE AVE BSMT
CHICAGO, IL 60657-4223
Phone number: 505-331-3467
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