Organization
KEN WILSON
Active
Other names
DBA CONCERN: EAP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA WILSON EPPS M.S.W. (CLINICAL DIRECTOR)
(706) 667-2353
Entity
Organization
Contact information
Practice address
2610 COMMONS BLVD, AUGUSTA, GA 30909-2080
(706) 667-2353
(706) 667-2303
Mailing address
2610 COMMONS BLVD, AUGUSTA, GA 30909-2080
(706) 667-2353
(706) 667-2303
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
06/23/2008
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