Individual
LOUISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
Mailing address
1606 TRINIDAD AVE NE, WASHINGTON, DC 20002-2706
(202) 399-6208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302903
DC
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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