Individual
HEATHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
407 WASHINGTON ST, MONTICELLO, MN 55362-8815
(320) 241-4804
Mailing address
407 WASHINGTON ST, MONTICELLO, MN 55362-8815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27169
MN
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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