Individual
RAQUEL PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 WILLIAMSON PL STE 1, MOUNT VERNON, IL 62864-6760
(618) 816-1224
Mailing address
1111 S LINCOLN AVE UNIT 1326, O FALLON, IL 62269-5165
(618) 816-1224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
Primary
149.031303
IL
104100000X
Social Worker
—
—
Other
Enumeration date
07/18/2023
Last updated
05/21/2026
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