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Individual

ANNE WILDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8641 W 75TH ST, JUSTICE, IL 60458
(708) 496-8716
Mailing address
8641 W 75TH ST, JUSTICE, IL 60458-1114
(708) 496-8722

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149020267
IL
1041S0200X
School Social Worker
Primary
2322108
IL

Other

Enumeration date
08/24/2017
Last updated
07/21/2022
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