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Individual

JANE ELIZABETH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCPC

Contact information

Practice address
506 W LINCOLN AVE, SUITE 1000, CHARLESTON, IL 61920-2453
(217) 348-6281
Mailing address
506 W LINCOLN AVE, SUITE 1000, CHARLESTON, IL 61920-2453
(217) 348-6281

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IL

Other

Enumeration date
08/05/2007
Last updated
08/05/2007
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