Individual
MS. ANDREA T WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LSW
Contact information
Practice address
1318 S MAIN RD, SUITE 3, VINELAND, NJ 08360-6516
(856) 692-1600
(856) 692-1615
Mailing address
1318 SOUTH MAIN RD. #3, THE KIDNEY CENTER AT VINELAND, VINELAND, NJ 08360
(856) 692-1600
(856) 692-1615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05265200
NJ
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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