Individual
DALMA VAZQUEZ-WACKT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N 1ST ST, DEKALB, IL 60115-3201
(815) 751-9694
Mailing address
1215 HIGHPOINTE DR, DEKALB, IL 60115-6102
(815) 901-5067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010683
IL
Other
Enumeration date
06/06/2016
Last updated
06/07/2016
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