Individual
MR. JODI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4304
(402) 977-5683
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4304
(402) 977-5683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2114
NE
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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