JACOB R WILSON

ROCKFORD, IL
NPI1023318276
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-10-21
Last Update Date2014-07-31
Business Address
MR. JACOB R WILSON BA
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-391-1000
Mailing Address
MR. JACOB R WILSON BA
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-391-1000
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