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1265831192
CHARLES CLAYTON WILCOX
PEKIN, IL
NPI
1265831192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.016372)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
CHARLES CLAYTON WILCOX
359 S CAPITOL ST
PEKIN, IL 61554-4112
Phone number: 309-620-0881
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Mailing Address
CHARLES CLAYTON WILCOX
359 S CAPITOL ST
PEKIN, IL 61554-4112
Phone number: 309-620-0881
Copy
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