Most Relevant Information
Provider Data
| NPI Number: | 1003346628 |
| Provider Name: | VICTORIA TULLOCK MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
631 SOUTH FIRST ST.
DEKALB
IL
60115
Practice Location Phone/Fax
| Phone: | 8157568501 |
| Fax: |
Provider Mailing Location
631 S 1ST ST
DEKALB
IL
601154117
Provider Mailing Phone/Fax
| Phone: | 8157568501 |
| Fax: |