Debra Wallace, LMFT
NPI #1598005019 in Island Lake, Illinois
Provider Information
- NPI Number
- 1598005019
- Entity Type
- Individual
- Name
- Debra Wallace, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Feb 20, 2013
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 27979 N CONVERSE RD
- City
- Island Lake
- State
- Illinois
- ZIP Code
- 60042-8103
- Phone
- (847) 850-9444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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