TIFFANY ANDRAE WILSON

CRYSTAL LAKE, IL
NPI1992359046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-07-27
Last Update Date2020-09-24
Business Address
Ms. TIFFANY ANDRAE WILSON
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014-7226
Phone number: 815-527-7300
Mailing Address
Ms. TIFFANY ANDRAE WILSON
5924 CLARENDON DR
ROCKFORD, IL 61114-5510
Phone number: 779-207-6699
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