Individual
ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12160-C
AR
1041C0700X
Clinical Social Worker
54485
TX
Other
Enumeration date
04/28/2025
Last updated
10/16/2025
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