THERESA DEWALT

RACINE, WI
NPI1699933036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  3369-125)
Enumeration Date2008-05-31
Last Update Date2008-05-31
Business Address
-- THERESA DEWALT
1220 MOUND AVE STE 304
RACINE, WI 53404-3350
Phone number: 262-488-0011
Mailing Address
-- THERESA DEWALT
1220 MOUND AVE STE 304
RACINE, WI 53404-3350
Phone number: 262-488-0011
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