JACLYN WALLEN

BERWYN, IL
NPI1083227995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180.008708)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
JACLYN WALLEN
6501 STANLEY AVE
BERWYN, IL 60402-3123
Phone number: 708-484-7400
Mailing Address
JACLYN WALLEN
5018 W 23RD ST
CICERO, IL 60804-2927
Phone number: 334-718-9025
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