Individual
MIA JOLYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 BRADLEY BLVD APT T7, CHEVY CHASE, MD 20815-6305
(240) 706-5643
(240) 706-5643
Mailing address
4700 BRADLEY BLVD APT T7, CHEVY CHASE, MD 20815-6305
(240) 706-5643
(240) 706-5643
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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