ALICIA WADE

LAKE VILLA, IL
NPI1750897997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  149019700)
Enumeration Date2017-12-26
Last Update Date2017-12-26
Business Address
ALICIA WADE
420 W GRAND AVE
LAKE VILLA, IL 60031
Phone number: 847-356-3322
Mailing Address
ALICIA WADE
PO BOX 1088
LAKE VILLA, IL 60046-1088
Phone number:
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