Individual
AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11325 PEGASUS ST STE W210, DALLAS, TX 75238-5203
(214) 292-6601
(972) 421-1848
Mailing address
4925 GREENVILLE AVE STE 200, DALLAS, TX 75206-0500
(214) 292-6601
(972) 421-1848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61023
TX
Other
Enumeration date
01/06/2020
Last updated
04/05/2021
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