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1700260536
DONNA WALLS
DIXON, IL
NPI
1700260536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 041.310106)
Enumeration Date
2015-07-10
Last Update Date
2015-07-10
Business Address
-- DONNA WALLS RN QMHP
208 LINCOLN WAY
DIXON, IL 61021-2019
Phone number: 815-973-2404
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Mailing Address
-- DONNA WALLS RN QMHP
208 LINCOLN WAY
DIXON, IL 61021-2019
Phone number: 815-973-2404
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