Wilson, Kristen J.

Wilson, Kristen J. is an individual health care provider with primary practice located at 1801 Fox Dr , Champaign IL 61820-7236. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wilson, Kristen J. can be contacted via phone (217) 398-8080.

Contact Information

Primary practice address
1801 Fox Dr Champaign IL 61820-7236
Phone: (217) 398-8080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1144405325
LBN Legal business name Wilson, Kristen J.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Apr 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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