Individual
MISS VALERIE L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
18085 VISTA DR, COUNTRY CLUB HILLS, IL 60478-2905
(773) 297-8652
(708) 798-1647
Mailing address
18085 VISTA DR, COUNTRY CLUB HILLS, IL 60478-2905
(773) 297-8652
(708) 798-1647
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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