Individual
KYLIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 E WASHINGTON ST, JOLIET, IL 60433-1573
(708) 642-6779
Mailing address
15903 W IROQUOIS DR, LOCKPORT, IL 60441-4679
(708) 642-6779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104844
IL
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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