Individual
MRS. SUNNY JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW
Contact information
Practice address
700 HALE ST, WISCONSIN RAPIDS, WI 54495-2787
(715) 424-4682
Mailing address
1041 WYLIE ST, WISCONSIN RAPIDS, WI 54494-3559
(218) 260-9575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130437-121
WI
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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