Gordon Bruce Wilson, LCSW
NPI #1477793271 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1477793271
- Entity Type
- Individual
- Name
- Gordon Bruce Wilson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Mar 6, 2009
- Last Updated
- Mar 6, 2009
Practice Location
- Address
- 562 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3721
- Phone
- (570) 552-3760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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