Individual
MADISON CATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8444 63RD ST NE, MARYSVILLE, WA 98270-8331
(812) 622-0494
Mailing address
8444 63RD ST NE, MARYSVILLE, WA 98270-8331
(812) 622-0494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
99088296A
IN
1041C0700X
Clinical Social Worker
Primary
LCSW-4785-0
HI
Other
Enumeration date
08/21/2018
Last updated
01/13/2022
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