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