Individual
ROSEMARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
3469 LAWRENCEVILLE HWY, SUITE 301, TUCKER, GA 30084-5888
(770) 723-7700
(770) 723-7388
Mailing address
3469 LAWRENCEVILLE HWY, SUITE 301, TUCKER, GA 30084-5888
(770) 723-7700
(770) 723-7388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW00378300
NJ
171M00000X
Case Manager/Care Coordinator
44SW00378300
NJ
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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