Individual
BAILEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 NEW JERSEY ST, LAWRENCE, KS 66044-2741
(785) 842-3797
Mailing address
715 NEW JERSEY ST, LAWRENCE, KS 66044-2741
(785) 251-3032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12766
KS
1041C0700X
Clinical Social Worker
Primary
07224
KS
Other
Enumeration date
07/01/2024
Last updated
08/01/2026
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