Individual
MS. JONNA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 LAIDLEY ST, SUITE 504, CHARLESTON, WV 25301-1619
(180) 095-0343
Mailing address
331 LAIDLEY ST, SUITE 504, CHARLESTON, WV 25301-1619
(180) 095-0343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00940355
WV
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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