Individual
MRS. BARBARA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 979-5958
(770) 979-7767
Mailing address
199 WHITE ROSE CT, LOGANVILLE, GA 30052-8645
(770) 554-4203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001017
GA
Other
Enumeration date
11/01/2006
Last updated
10/25/2013
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