Individual
MRS. EMILY MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 BLUE SAGE DR, ROCKWALL, TX 75087-9293
(972) 220-8012
(877) 624-8209
Mailing address
524 BLUE SAGE DR, ROCKWALL, TX 75087-9293
(972) 220-8012
(877) 624-8209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58436
TX
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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