Maggie Rae Dejong

NPI #1922504406 in Alton, Illinois

Provider Information

NPI Number: 1922504406
Entity Type: Individual
Name: Maggie Rae Dejong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 3, 2018
Last Updated: Sep 13, 2021

Practice Location

Address: 2615 EDWARDS ST
City: Alton
State: Illinois
ZIP Code: 62002-3915
Phone: (618) 462-2331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Counselor	101Y00000X	Primary

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