KACIE WALL

BELLEVILLE, IL
NPI1750712121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.016251)
Enumeration Date2013-12-10
Last Update Date2013-12-10
Business Address
-- KACIE WALL
12 N 64TH ST
BELLEVILLE, IL 62223-3809
Phone number: 618-397-0900
Mailing Address
-- KACIE WALL
12 N 64TH ST
BELLEVILLE, IL 62223-3809
Phone number:
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