Organization
JONES WILSON GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH WILSON (CHIEF FINANCIAL OFFICER)
(302) 399-6546
Entity
Organization
Contact information
Practice address
1480 RISING SUN RD, CAMDEN WYOMING, DE 19934-1915
(302) 399-6546
Mailing address
1480 RISING SUN RD, CAMDEN WYOMING, DE 19934-1915
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103TM1800X
—
DE
Enumeration date
03/09/2022
Last updated
03/09/2022
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