Individual
MS. MARSHA DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
708 MAGAZINE ST, LOUISVILLE, KY 40203-2043
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4082
KY
Other
Enumeration date
07/14/2006
Last updated
07/20/2015
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