Stacy Wilson, LMSW
NPI #1326507815 in Grand Island, New York
Provider Information
- NPI Number
- 1326507815
- Entity Type
- Individual
- Name
- Stacy Wilson, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Mar 14, 2019
- Last Updated
- Jun 17, 2019
Practice Location
- Address
- 52 WOODSTREAM DR
- City
- Grand Island
- State
- New York
- ZIP Code
- 14072
- Phone
- (716) 220-8834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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