SAMANTHA DIANE WALLS

BATAVIA, IL
NPI1710289897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022634)
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2010-11-23
Last Update Date2023-10-13
Business Address
SAMANTHA DIANE WALLS
1315 NEWTON AVE
BATAVIA, IL 60510-4536
Phone number: 630-219-9848
Mailing Address
SAMANTHA DIANE WALLS
1315 NEWTON AVE
BATAVIA, IL 60510-4536
Phone number: 630-219-9848