Individual
MRS. KEMOY JODIANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6416 MELALUECA LN, GREENACRES,, FL 33463
(561) 649-0877
Mailing address
12123 W SAMPLE RD, CORAL SPRINGS, FL 33065
(954) 990-9427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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