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1003143967
MICHAEL N WILSON
CHICAGO, IL
NPI
1003143967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.006114)
Enumeration Date
2009-11-12
Last Update Date
2009-11-12
Business Address
-- MICHAEL N WILSON
1340 S DAMEN AVE
CHICAGO, IL 60608-1169
Phone number: 312-738-5926
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Mailing Address
-- MICHAEL N WILSON
1340 S DAMEN AVE
CHICAGO, IL 60608-1169
Phone number: 312-738-5926
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