Individual
ADALAY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 BAKER RD, VIRGINIA BEACH, VA 23462-1004
(757) 490-9797
(757) 490-8324
Mailing address
815 BAKER RD, VIRGINIA BEACH, VA 23462-1004
(757) 490-9797
(757) 490-8324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002035
VA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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