CHARLES CLAYTON WILCOX

PEKIN, IL
NPI1265831192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.016372)
Enumeration Date2014-08-15
Last Update Date2014-08-15
Business Address
-- CHARLES CLAYTON WILCOX
359 S CAPITOL ST
PEKIN, IL 61554-4112
Phone number: 309-620-0881
Mailing Address
-- CHARLES CLAYTON WILCOX
359 S CAPITOL ST
PEKIN, IL 61554-4112
Phone number: 309-620-0881
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