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1053329235
KENNETH G WILSON
CHICAGO, IL
NPI
1053329235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149 010309)
Enumeration Date
2006-08-04
Last Update Date
2013-12-12
Business Address
Mr. KENNETH G WILSON LCSW
1525 E 53RD ST SUITE 716
CHICAGO, IL 60615-4557
Phone number: 312-619-3985
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Mailing Address
Mr. KENNETH G WILSON LCSW
1525 E 53RD ST SUITE 716
CHICAGO, IL 60615-4557
Phone number: 312-619-3985
Copy
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