person
Mrs. Lisa Louise Wild, MSED,MSW
Professional Counselor in Pinckneyville, Illinois
NPI 1184733693

Lisa Louise Wild is a Professional Counselor based in Pinckneyville, IL and is specialized in Professional. Lisa Louise Wild practices in Pinckneyville, IL and has the professional credentials of MSED,MSW. The NPI Number for Lisa Louise Wild is 1184733693 and holds a License No. (Illinois).

The current practice location address for Lisa Louise Wild is 313 S Walnut St, Pinckneyville, IL and can be reached out via phone at 618-357-1407.

Location: 313 S Walnut St, Pinckneyville, IL, 62274-1342
person
Provider Profile Details
NPI Number
1184733693
Provider Name
Lisa Louise Wild
Credential
MSED,MSW
Provider Entity Type
Individual
Gender
Female
Address
313 S Walnut St, Pinckneyville, IL, 62274-1342
Phone Number
618-357-1407
Fax Number
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
313 S Walnut St
City
State
Zip
62274-1342
Phone Number
618-357-1407
Fax Number
person
Provider Business Mailing Address Details
Address
313 S Walnut St
City
State
Zip
62274-1342
Phone Number
618-357-1407
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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