Individual
MS. CAROL DEANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
998 CROOKED HILL RD BLDG 82, WEST BRENTWOOD, NY 11717-1019
(631) 761-2522
Mailing address
33 BEVERLY CT, FORT SALONGA, NY 11768-1426
(516) 242-1490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084576-1
NY
Other
Enumeration date
11/07/2013
Last updated
07/21/2022
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