Individual
TRICIA R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1288 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(712) 328-8800
(402) 328-8461
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 328-8461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
05822
IA
1041C0700X
Clinical Social Worker
Primary
05822
IA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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