Individual
DIANA L WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 604-5615
Mailing address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 604-5615
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
359899
IL
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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