Individual
STEVEN WILSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5224 W DOVE CENTRE RD, MARANA, AZ 85658-5063
(520) 616-1445
(520) 616-1446
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-1445
(520) 616-1446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-19151
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095363
—
AZ
Enumeration date
01/29/2021
Last updated
08/30/2023
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