DR. Jimmy Lee Wilson, PH.D, LMSW

NPI #1174202188 in Landover, Maryland

Provider Information

NPI Number: 1174202188
Entity Type: Individual
Name: DR. Jimmy Lee Wilson, PH.D, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: PH.D, LMSW
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 1802 BRIGHTSEAT RD STE 300
City: Landover
State: Maryland
ZIP Code: 20785-4244
Phone: (240) 249-0989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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