ALICIA S WALLACE

BLOOMINGTON, IL
NPI1114746765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
ALICIA S WALLACE
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
ALICIA S WALLACE
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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