Individual
JASMINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11043 S WALLACE ST, CHICAGO, IL 60628-4031
(773) 263-3099
Mailing address
11043 S WALLACE ST, CHICAGO, IL 60628-4031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102141
IL
1041S0200X
School Social Worker
—
IL
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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