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1811170038
TONY D WILSON
CHICAGO, IL
NPI
1811170038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.012470)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
Mr. TONY D WILSON LCSW
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-371-2900
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Mailing Address
Mr. TONY D WILSON LCSW
3062 E 91ST ST
CHICAGO, IL 60617-4401
Phone number: 773-371-2900
Copy
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