Individual
MISS JA'NICIA I. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4210 COLUMBIA RD STE 13B, MARTINEZ, GA 30907-0445
(706) 496-2856
(762) 333-2872
Mailing address
4210 COLUMBIA RD STE 13B, MARTINEZ, GA 30907-0445
(706) 496-2856
(762) 333-2872
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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