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Individual
KIMBERLY WILSON
Active
Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079505
DC
1041S0200X
School Social Worker
LC50079505
DC
Other
Enumeration date
01/15/2014
Last updated
08/29/2025
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