TYLER WALT

DEKALB, IL
NPI1912551052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-26
Last Update Date2019-07-26
Business Address
TYLER WALT
631 S 1ST ST
DEKALB, IL 60115-4117
Phone number: 815-756-8501
Mailing Address
TYLER WALT
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-751-3864
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