Individual
DR. KEVIN H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW-CA
Contact information
Practice address
10750 W MCDOWELL RD STE C305, AVONDALE, AZ 85392-5964
(623) 440-1633
Mailing address
10750 W MCDOWELL RD STE C305, AVONDALE, AZ 85392-5964
(402) 212-4681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW125314
CA
Other
Enumeration date
01/19/2020
Last updated
02/08/2025
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