Mallory C Rose
NPI #1962883876 in Northbrook, Illinois
Provider Information
- NPI Number
- 1962883876
- Entity Type
- Organization
- Organization Name
- Mallory C Rose
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jun 16, 2015
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 3305 ROBINCREST DR
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-5126
- Phone
- (214) 402-7500
Authorized Official
- Name
- MALLORY COOPER ROSE, LMFT
- Title
- MARRIAGE AND FAMILY THERAPIST
- Phone
- (214) 402-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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