MR. Michael R Wilson, LCSW, BCD

NPI #1538379912 in Stanardsville, Virginia

Provider Information

NPI Number
1538379912
Entity Type
Individual
Name
MR. Michael R Wilson, LCSW, BCD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, BCD
Enumeration Date
May 23, 2007
Last Updated
Apr 20, 2011

Practice Location

Address
24 RECTORY LN
ZIP Code
22973-2980
Phone
(434) 985-5220

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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