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1225584188
DOMINIQUE M WILSON
MARION, IL
NPI
1225584188
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Former Name
DOMINIQUE WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.011802)
Enumeration Date
2016-08-31
Last Update Date
2024-03-05
Business Address
DOMINIQUE M WILSON LCPC
1616 W MAIN ST STE 503
MARION, IL 62959-1146
Phone number: 618-703-3038
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Mailing Address
DOMINIQUE M WILSON LCPC
1616 W MAIN ST STE 503
MARION, IL 62959-1146
Phone number: 618-703-3038
Copy
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