# MS. GRACE BECKER WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083740815
- **Gender:** F
- **Credential:** LIC SW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0890000712 | VT | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 03/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | OVN1867 | — | VT |