Individual
DR. COURTNEY JERMAINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
9346 NW 49TH PL, SUNRISE, FL 33351-5261
(646) 667-3727
Mailing address
11200 SW 8TH ST # STREET5, MIAMI, FL 33199-2516
(407) 917-3009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19793
FL
Other
Enumeration date
06/21/2022
Last updated
11/06/2024
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