Most Relevant Information
Provider Data
| NPI Number: | 1003416520 |
| Provider Name: | RAE LYNN METZLER8 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/26/2020 |
| Last Updated: | 10/26/2020 |
Provider Practice Location
325 ILLINOIS RT 2
DIXON
IL
610219118
Practice Location Phone/Fax
| Phone: | 8152846611 |
| Fax: |
Provider Mailing Location
325 ILLINOIS RT 2
DIXON
IL
610219118
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |