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Individual

KIERA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
120 W 7TH ST STE 108, BLOOMINGTON, IN 47404-3835
(812) 269-6966
Mailing address
120 W 7TH ST STE 108, BLOOMINGTON, IN 47404-3835
(812) 269-6966

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009292A
IN

Other

Enumeration date
09/18/2017
Last updated
08/09/2021
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