Individual
JAMIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
(410) 426-6105
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7260
(410) 444-3800
(410) 426-6105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14937
MD
Other
Enumeration date
03/14/2008
Last updated
07/16/2015
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