Individual
MRS. JODI L WIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
103 W MAIN ST, SUITE 5, OBLONG, IL 62449-1165
(618) 592-3116
(618) 592-3117
Mailing address
103 W MAIN ST, SUITE 5, OBLONG, IL 62449-1165
(618) 592-3116
(618) 592-3117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006960
IL
Other
Enumeration date
10/04/2007
Last updated
08/23/2010
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