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Individual

DR. JIMMY LEE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D, LMSW

Contact information

Practice address
1802 BRIGHTSEAT RD STE 300, LANDOVER, MD 20785-4244
(240) 249-0989
(240) 256-8887
Mailing address
13413 LUCY CT, BRANDYWINE, MD 20613-7852
(731) 217-2569

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26944
MD

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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