Individual
KATHRYN ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7950 6TH ST, WELLINGTON, CO 80549-1830
(970) 888-4070
(970) 372-6412
Mailing address
7304 CROSS KEYS DR, NORTH RICHLAND HILLS, TX 76182-6057
(817) 437-7574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17095
TX
1041C0700X
Clinical Social Worker
CSW09926974
CO
Other
Enumeration date
07/08/2015
Last updated
08/31/2021
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