Most Relevant Information
Provider Data
| NPI Number: | 1003639246 |
| Provider Name: | SHAWNA MALONE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149027025 |
Most Important Dates
| Enumeration Date: | 11/06/2024 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
5198 ZENITH PKWY
2
MACHESNEY PARK
IL
611154444
Practice Location Phone/Fax
| Phone: | 8156083507 |
| Fax: |
Provider Mailing Location
5198 ZENITH PARKWAY
2
MACHESNEY PARK
IL
61115
Provider Mailing Phone/Fax
| Phone: | 8156083507 |
| Fax: |