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Individual
LANAY DENIECE WALLS
Active
Individual
LANAY DENIECE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21114
IL
101YM0800X
Mental Health Counselor
149.026493
IL
1041C0700X
Clinical Social Worker
Primary
149.026493
IL
Other
Enumeration date
11/29/2023
Last updated
03/10/2026
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