SUSAN R WALLACE

CHICAGO, IL
NPI1043958176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
SUSAN R WALLACE
2715 N CENTRAL AVE
CHICAGO, IL 60639-1351
Phone number: 773-360-1389
Mailing Address
SUSAN R WALLACE
86 E 13TH ST
CHICAGO HEIGHTS, IL 60411-2761
Phone number: 708-466-9457
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