ANNIQUE VIDAL

DIXON, IL
NPI1144108077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-08-27
Last Update Date2025-08-27
Business Address
ANNIQUE VIDAL QMHP
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
ANNIQUE VIDAL QMHP
325 IL ROUTE 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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