Susan Wilson's National Provider Identifier (NPI) Details
Susan Wilson, LCPC
NPI: 1598340093
Enumeration Date: 2021-03-16
Last updated: 2021-03-16
Sole Proprietor: NO
Status: active
Postal Address: 1583 365N AVE, VERSAILLES, IL
Phone: 217-242-6036
Primary Practice Address: 127 S LIBERTY ST, RUSHVILLE, IL
Practice's phone: 217-322-4373