Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 918-6107
Mailing address
118 P ST, LAKE LOTAWANA, MO 64086-9200
(816) 918-6107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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