person
Ivy Fay Malisow, LCPC
Professional Counselor in Oak Park, Illinois
NPI 1710477823

Ivy Fay Malisow is a Professional Counselor based in Chicago, IL and is specialized in Professional. Ivy Fay Malisow practices in Oak Park, IL and has the professional credentials of LCPC. The NPI Number for Ivy Fay Malisow is 1710477823 and holds a License No. 180011204 (Illinois).

The current practice location address for Ivy Fay Malisow is 101 Madison St, Oak Park, IL and can be reached out via phone at 708-859-8004.

Location: 101 Madison St, Oak Park, IL, 60657-4223
person
Provider Profile Details
NPI Number
1710477823
Provider Name
Ivy Fay Malisow
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
101 Madison St, Oak Park, IL, 60657-4223
Phone Number
708-859-8004
Fax Number
Provider Enumeration Date
05/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Madison St
City
State
Zip
60302-4278
Phone Number
708-859-8004
Fax Number
person
Provider Business Mailing Address Details
Address
101 Madison St
City
State
Zip
60302-4278
Phone Number
708-859-8004
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180011204 (Illinois)
Definition
Definition to come...
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