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1649852526
ELIZABETH WILD
SPRINGFIELD, IL
NPI
1649852526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149023240)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
ELIZABETH WILD LCSW
3008 HAPPY LANDING DR
SPRINGFIELD, IL 62711-6259
Phone number: 630-428-7890
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Mailing Address
ELIZABETH WILD LCSW
2772 JAMAR TRL APT 206
DECATUR, IL 62521-2373
Phone number: 618-558-0644
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