AUDREY LUCILLE WALLACE

JERSEYVILLE, IL
NPI1285460097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
AUDREY LUCILLE WALLACE
26034 CEMETERY RD
JERSEYVILLE, IL 62052-6385
Phone number: 618-535-2112
Mailing Address
AUDREY LUCILLE WALLACE
26034 CEMETERY RD
JERSEYVILLE, IL 62052-6385
Phone number:
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