Individual
AMY VALLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8 EAGLE CTR STE 15, O FALLON, IL 62269-1947
(618) 207-3543
(855) 813-0212
Mailing address
1180 TAZEWELL DR, O FALLON, IL 62269-7149
(618) 799-9737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018550
IL
Other
Enumeration date
07/03/2016
Last updated
06/14/2019
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