Mrs Lisa Louise Wild, MSED, MSW | |
313 S Walnut St, Pinckneyville, IL 62274-1342 | |
(618) 357-1407 | |
Not Available |
Full Name | Mrs Lisa Louise Wild |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 313 S Walnut St, Pinckneyville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184733693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Louise Wild, MSED, MSW 313 S Walnut St, Pinckneyville, IL 62274-1342 Ph: (618) 357-1407 | Mrs Lisa Louise Wild, MSED, MSW 313 S Walnut St, Pinckneyville, IL 62274-1342 Ph: (618) 357-1407 |
Dawn M Galbraith, CLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 S Main St, Pinckneyville, IL 62274 Phone: 618-357-5371 Fax: 618-357-3190 | |
Terry Lewis Jackson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 W Water St, Pinckneyville, IL 62274 Phone: 618-357-3396 Fax: 618-357-3396 |