Individual
MRS. ELENA MELANIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27W130 ROOSEVELT RD STE 203, WINFIELD, IL 60190-1643
(630) 588-8490
Mailing address
27W130 ROOSEVELT RD STE 203, WINFIELD, IL 60190-1643
(630) 588-8490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013912
IL
Other
Enumeration date
03/03/2010
Last updated
03/11/2010
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