TA'AQUA J WILSON

CHICAGO, IL
NPI1649746769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
TA'AQUA J WILSON
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-437-4643
Mailing Address
TA'AQUA J WILSON
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-437-4643
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