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1891403408
CLAYTON T WILSON
CHICAGO, IL
NPI
1891403408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149026718)
Enumeration Date
2022-11-11
Last Update Date
2024-10-01
Business Address
CLAYTON T WILSON
2701 N MILDRED AVE APT 3A
CHICAGO, IL 60614-1407
Phone number: 872-254-4563
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Mailing Address
CLAYTON T WILSON
2701 N MILDRED AVE APT 3A
CHICAGO, IL 60614-1407
Phone number: 872-254-4563
Copy
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