Individual
MS. ADRIENE ANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W, L.C.S.W.,
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 699-2188
Mailing address
407 DEVINE ST, SAN ANTONIO, TX 78210-1503
(210) 617-5113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
39734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
671
AUDIE L. MURPHYVAHOSPITAL
TX
Enumeration date
09/03/2006
Last updated
01/17/2013
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