Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1820 T ST NW APT 2, WASHINGTON, DC 20009-7144
(202) 425-6311
Mailing address
1820 T ST NW APT 2, WASHINGTON, DC 20009-7144
(202) 425-6311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081148
DC
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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