JORDAN KENT WILES

CHAMPAIGN, IL
NPI1770095119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2017-10-25
Last Update Date2017-10-25
Business Address
Mr. JORDAN KENT WILES SSP, NCSP
807 N MATTIS AVE
CHAMPAIGN, IL 61821-2448
Phone number: 618-919-0408
Mailing Address
Mr. JORDAN KENT WILES SSP, NCSP
807 N MATTIS AVE
CHAMPAIGN, IL 61821-2448
Phone number: 618-919-0408
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