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Organization
WAHLBERG PSYCHOLOGICAL SERVICES
Active
Organization
WAHLBERG PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY WAHLBERG (MANAGER)
(630) 776-1181
Entity
Organization
Contact information
Practice address
2320 DEAN ST STE 201, ST CHARLES, IL 60175-1068
(630) 776-1181
Mailing address
2320 DEAN ST STE 201, ST CHARLES, IL 60175-1068
(630) 776-1181
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/14/2022
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