Individual
MS. DAWN WALTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ACSW, LCSW, NSW
Contact information
Practice address
2708 POTTS CREED RD., COVINGTON, VA 24426
(540) 747-2495
Mailing address
P.O. BOX 921, COVINGTON, VA 24426-0921
(540) 747-2495
(540) 747-2789
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904003169
VA
104100000X
Social Worker
CP00941017
WV
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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