Individual
AMY WILTSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 HEALTHCARE DR, MT CARROLL, IL 61053
(815) 244-1376
Mailing address
19491 FAIRHAVEN RD, CHADWICK, IL 61014
(815) 213-1042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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