AUTUMN MICHELE WIBORG

ST CHARLES, IL
NPI1396426185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IL  178019183)
Enumeration Date2023-07-26
Last Update Date2023-07-26
Business Address
AUTUMN MICHELE WIBORG LPC
1120 E MAIN ST STE 201
ST CHARLES, IL 60174-2287
Phone number: 630-377-6613
Mailing Address
AUTUMN MICHELE WIBORG LPC
1120 E MAIN ST STE 201
ST CHARLES, IL 60174-2287
Phone number: 630-377-6613
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