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Madison Wallace, MHP
NPI 1003622937 · on the registry since 2024
Practice
- Address
- 325 Illinois Rt 2
Dixon, IL 61021 - Phone
- (815) 284-6611
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 92
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Female
- Record last updated
- 2024-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois