Individual
COURTNEY LAINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1513 E PRESIDIO ST STE B, FORT WORTH, TX 76102-6735
(817) 702-7345
(817) 702-2950
Mailing address
3821 ASHFORD AVE, FORT WORTH, TX 76133-2935
(608) 469-7336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62204
TX
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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