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Individual
GEOFFREY DAVID WILSON
Active
Individual
GEOFFREY DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
649
KY
1041C0700X
Clinical Social Worker
1332
KY
Other
Enumeration date
01/02/2007
Last updated
09/11/2025
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