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Individual

ANNETTE MARIE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(815) 942-6323
(779) 210-5541
Mailing address
PO BOX 7410264, CHICAGO, IL 60674-0264
(815) 942-6323
(779) 210-5541

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15711-130
WI
103TC0700X
Clinical Psychologist
Primary
071010159
IL

Other

Enumeration date
02/23/2009
Last updated
08/20/2021
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