Individual
DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 211TH ST STE 210A, MATTESON, IL 60443-3082
(312) 818-1192
Mailing address
14615 IRVING AVE, DOLTON, IL 60419-2027
(773) 332-0065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
08/21/2024
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