Mallon, Charlotte

Mallon, Charlotte is an individual health care provider with primary practice located at 255 Revere Dr , Northbrook IL 60062-1564. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mallon, Charlotte can be contacted via phone (847) 412-4352.

Contact Information

Primary practice address
255 Revere Dr Northbrook IL 60062-1564
Phone: (847) 412-4352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1295868735
LBN Legal business name Mallon, Charlotte
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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