SUSAN EVELYN WICKSTROM

GENEVA, IL
NPI1720093131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-004355)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Ms. SUSAN EVELYN WICKSTROM LCSW
125 HAMILTON ST
GENEVA, IL 60134-2235
Phone number: 630-232-2946
Mailing Address
Ms. SUSAN EVELYN WICKSTROM LCSW
125 HAMILTON ST
GENEVA, IL 60134-2235
Phone number: 630-232-2946
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