Individual
MR. ALEXANDER A. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
7494 LEE DAVIS RD STE 16D, MECHANICSVILLE, VA 23111-3607
(804) 559-4566
(804) 559-1449
Mailing address
PO BOX 292, STUDLEY, VA 23162-0292
(804) 559-4566
(804) 559-1449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904001692
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010229324
—
VA
01
—
C09747
MEDICARE GROUP NUMBER
—
Enumeration date
03/24/2006
Last updated
01/01/2025
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