# DONNA J WILSON, LCSW, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871990598
- **Authorized official:** DONNA J WILSON LCSW (OWNER)
- **Authorized official phone:** (727) 538-4208

## Contact information

- **Practice address:** 73 PIEDMONT DR, WHITESBURG, KY 41858-7668
- **Practice address phone:** (727) 538-4208
- **Practice address fax:** (866) 341-7509
- **Mailing address:** 114 PICARDY CT, ELIZABETHTOWN, KY 42701-3132
- **Mailing address phone:** (727) 538-4208
- **Mailing address fax:** (866) 341-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3839 | KY | Yes |

## Other

- **Enumeration date:** 11/24/2014
- **Last updated:** 03/15/2021
