LILLIAN RENEE WALLIS

MISHAWAKA, IN
NPI1639009046
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2026-05-20
Last Update Date2026-05-20
Business Address
LILLIAN RENEE WALLIS
3838 N MAIN ST
MISHAWAKA, IN 46545-3100
Phone number: 888-982-5228
Mailing Address
LILLIAN RENEE WALLIS
55245 TIMOTHY RD
NEW CARLISLE, IN 46552-9669
Phone number: