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1780401794
JESSICA WILSON
CHAMPAIGN, IL
NPI
1780401794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.109907)
Enumeration Date
2024-09-21
Last Update Date
2024-09-21
Business Address
JESSICA WILSON
3203 CYPRESS CREEK RD
CHAMPAIGN, IL 61822-7595
Phone number: 217-550-3793
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Mailing Address
JESSICA WILSON
3203 CYPRESS CREEK RD
CHAMPAIGN, IL 61822-7595
Phone number: 217-550-3793
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