Individual
ALYSSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 WARBASSE JUNCTION RD, LAFAYETTE, NJ 07848-4406
(973) 769-4052
Mailing address
236 WARBASSE JUNCTION RD, LAFAYETTE, NJ 07848-4406
(973) 769-4052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
095887
NY
1041C0700X
Clinical Social Worker
Primary
44SC06041700
NJ
Other
Enumeration date
02/01/2018
Last updated
08/22/2022
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