Marissa Nicole Wilson

NPI #1992243653 in Gilberts, Illinois

Provider Information

NPI Number: 1992243653
Entity Type: Individual
Name: Marissa Nicole Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 2, 2017
Last Updated: Feb 2, 2017

Practice Location

Address: 340 GREGORY M SEARS DR
City: Gilberts
State: Illinois
ZIP Code: 60136-4051
Phone: (847) 695-0484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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