KELLY MALCOLM

CHICAGO, IL
NPI1770944043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146011711)
Enumeration Date2016-03-15
Last Update Date2016-03-15
Business Address
-- KELLY MALCOLM
1822 N CLEVELAND AVE APT. 1R
CHICAGO, IL 60614-5268
Phone number: 630-699-1607
Mailing Address
-- KELLY MALCOLM
1822 N CLEVELAND AVE APT. 1R
CHICAGO, IL 60614-5268
Phone number: