DONNA LYNN MOULTON

DEKALB, IL
NPI1770636698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149011521)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- DONNA LYNN MOULTON LCSW
14 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-758-8616
Mailing Address
-- DONNA LYNN MOULTON LCSW
1838 BROWER PL
SYCAMORE, IL 60178-3029
Phone number: 815-899-0682
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