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Individual

ALYSON GENELL MARSALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2634 GRAND AVE, SUITE 107, WAUKEGAN, IL 60085-2458
(847) 249-3510
(847) 249-3823
Mailing address
2634 GRAND AVE, SUITE 107, WAUKEGAN, IL 60085-2458
(847) 249-3510
(847) 249-3823

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL

Other

Enumeration date
09/03/2006
Last updated
07/08/2007
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