Individual
JAZMYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 974, GLEN ALLEN, VA 23060-0974
(703) 493-0407
Mailing address
PO BOX 974, GLEN ALLEN, VA 23060-0974
(804) 592-6696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22675
MD
Other
Enumeration date
06/16/2021
Last updated
06/02/2025
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