Individual
MS. ANTOINETTE DION WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2010 HIDDEN CT, ALBANY, GA 31707-1945
(229) 225-8855
Mailing address
2010 HIDDEN CT, ALBANY, GA 31707-1945
(229) 225-8855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006287
GA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
12/06/2006
Last updated
09/06/2023
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