MADISON WALLACE

DIXON, IL
NPI1003622937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-12-05
Last Update Date2024-12-05
Business Address
MADISON WALLACE MHP
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
MADISON WALLACE MHP
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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