Individual
LAKEISHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMSW
Contact information
Practice address
1028 MONDRIAN TER, SILVER SPRING, MD 20904-3269
(301) 237-9661
Mailing address
1028 MONDRIAN TER, SILVER SPRING, MD 20904-3269
(301) 237-9661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G12901
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G12901
LICENSE NUMBER
MD
Enumeration date
01/12/2023
Last updated
03/07/2023
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