Individual
MRS. JACQUELINE D. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
307 4TH AVE, SUITE 310, PITTSBURGH, PA 15222-2108
(412) 471-8722
(412) 471-4861
Mailing address
307 4TH AVE, SUITE 310, PITTSBURGH, PA 15222-2108
(412) 471-8722
(412) 471-4861
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW004573E
PA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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