Individual
EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 ROSEHAVEN ST STE 100, FAIRFAX, VA 22030-2877
(703) 650-0636
Mailing address
10521 ROSEHAVEN ST STE 100, FAIRFAX, VA 22030-2877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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