MARY ALICE WENTLING

DIXON, IL
NPI1174779953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180005096)
Enumeration Date2008-08-13
Last Update Date2008-08-13
Business Address
-- MARY ALICE WENTLING LCPC
501 WOODLAND DR
DIXON, IL 61021-8937
Phone number: 815-973-6111
Mailing Address
-- MARY ALICE WENTLING LCPC
501 WOODLAND DR
DIXON, IL 61021-8937
Phone number: 815-973-6111