DANIEL WALLACE

RICHTON PARK, IL
NPI1841771292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150.106556)
Enumeration Date2018-08-23
Last Update Date2024-01-30
Business Address
Dr. DANIEL WALLACE DSW
22997 KRISTINE LN
RICHTON PARK, IL 60471-1273
Phone number: 708-925-7022
Mailing Address
Dr. DANIEL WALLACE DSW
22997 KRISTINE LN
RICHTON PARK, IL 60471-1273
Phone number: 708-925-7022
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