Individual
AMY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 DRIPPING SPRINGS DR, FORNEY, TX 75126-5138
(469) 223-8167
Mailing address
2052 DRIPPING SPRINGS DR, FORNEY, TX 75126-5138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53027
TX
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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