Individual
CHLOE ABIGAIL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
(618) 877-4420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108715
IL
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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