JACQUELINE ELLEN WILSON

WATERLOO, IL
NPI1972717205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
-- JACQUELINE ELLEN WILSON MAQMHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1000
Phone number: 618-939-4444
Mailing Address
-- JACQUELINE ELLEN WILSON MAQMHP
17 W WATERS EDGE DR
BELLEVILLE, IL 62221-7801
Phone number: 618-789-7385
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