Individual
AMY JOHNSON WILBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
30 N MICHIGAN AVE STE 1528, CHICAGO, IL 60602-3600
(312) 857-8670
Mailing address
701 LYMAN AVE, OAK PARK, IL 60304-1613
(312) 857-8670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016681
IL
Other
Enumeration date
07/10/2017
Last updated
01/27/2023
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