Individual
TOYA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D
Contact information
Practice address
1136 S DELANO CT W, CHICAGO, IL 60605-3740
(773) 231-0724
Mailing address
1472 RED TOP LN, MINOOKA, IL 60447-8212
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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