Individual
LANNELLE GERMAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HEADS AVENUE, AMERICUS, GA 31709
(229) 931-2493
Mailing address
100 HEADS AVE, AMERICUS, GA 31709-3616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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