Individual
MS. PAMELA LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR, SUITE 309 A, LOUISVILLE, KY 40207-4812
(502) 417-9291
Mailing address
4010 DUPONT CIR, SUITE 309 A, LOUISVILLE, KY 40207-4812
(502) 417-9291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34003932A
IN
1041C0700X
Clinical Social Worker
Primary
KY-1243
KY
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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