Individual
MR. SETH PALMER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
655 7TH ST BLDG 700A, ROBINS AFB, GA 31098-2227
(478) 327-8398
Mailing address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(802) 236-8475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089.0074431
VT
Other
Enumeration date
05/15/2007
Last updated
05/09/2022
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