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Mrs. Aunderia Denise Wallace
Mental Health Counselor in Bellwood, Illinois
NPI 1578183364

Aunderia Denise Wallace is a Mental Health Counselor based in Bellwood, IL and is specialized in Mental Health. Aunderia Denise Wallace practices in Bellwood, IL. The NPI Number for Aunderia Denise Wallace is 1578183364 and holds a License No. (Illinois).

The current practice location address for Aunderia Denise Wallace is 535 49Th Ave, Bellwood, IL and can be reached out via phone at 708-267-4044.

Location: 535 49Th Ave, Bellwood, IL, 60104-1733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578183364
Provider Name
Aunderia Denise Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
535 49Th Ave, Bellwood, IL, 60104-1733
Phone Number
708-267-4044
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
535 49Th Ave
City
Bellwood
State
Illinois
Zip
60104-1733
Phone Number
708-267-4044
Fax Number
person
Provider Business Mailing Address Details
Address
535 49Th Ave
City
Bellwood
State
Illinois
Zip
60104-1733
Phone Number
708-267-4044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Illinois)
Definition
Definition to come...
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