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Individual
MONIQUE WILSON
Active
Individual
MONIQUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15930
MD
1041C0700X
Clinical Social Worker
SW8317
FL
Other
Enumeration date
09/19/2007
Last updated
04/26/2012
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