Mellissa Mailfald

NPI #1194182766 in Mchenry, Illinois

Provider Information

NPI Number: 1194182766
Entity Type: Individual
Name: Mellissa Mailfald
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 103 N GLENBROOK TRL
City: Mchenry
State: Illinois
ZIP Code: 60050-5405
Phone: (847) 293-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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