Individual
MARISSA NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 GREGORY M SEARS DR, GILBERTS, IL 60136-4051
(847) 695-0484
Mailing address
340 GREGORY M SEARS DR, GILBERTS, IL 60136-4051
(847) 695-0484
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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