WYATT L ZAKSOEK

DIXON, IL
NPI1538731815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-15
Last Update Date2021-07-15
Business Address
WYATT L ZAKSOEK
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
WYATT L ZAKSOEK
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: