Carly Renae Wilson, MSW CSW PIP
NPI #1992351423 in Fort Meade, South Dakota
Provider Information
- NPI Number
- 1992351423
- Entity Type
- Individual
- Name
- Carly Renae Wilson, MSW CSW PIP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW CSW PIP
- Enumeration Date
- Aug 12, 2019
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 113 COMANCHE RD
- City
- Fort Meade
- State
- South Dakota
- ZIP Code
- 57741-1002
- Phone
- (605) 347-2511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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