William Lee Wilson JR., LICSW

NPI #1720563919 in Brainerd, Minnesota

Provider Information

NPI Number
1720563919
Entity Type
Individual
Name
William Lee Wilson JR., LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Oct 3, 2018
Last Updated
Oct 3, 2018

Practice Location

Address
520 NW 5TH ST
ZIP Code
56401-2902
Phone
(218) 270-0502

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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