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1447603493
ANDREA WILSON
CHICAGO, IL
NPI
1447603493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 178012148)
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
-- ANDREA WILSON
4115 W ADAMS ST
CHICAGO, IL 60624-2702
Phone number: 773-885-9700
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Mailing Address
-- ANDREA WILSON
4115 W ADAMS ST
CHICAGO, IL 60624-2702
Phone number: 773-885-9700
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