Individual
MEAGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 898-0030
Mailing address
3126 SUMMIT ST, SIOUX CITY, IA 51104-3946
(712) 898-0030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04271
IA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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