Individual
DANIELLE D WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 BLADENSBURG RD NE STE 101, WASHINGTON, DC 20002-8971
(571) 494-9308
Mailing address
2006 WHISTLING DUCK DR, UPPER MARLBORO, MD 20774-7139
(240) 603-6888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
05/28/2026
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