Individual
EMILY DOREEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8830 SE 17TH CT, OCALA, FL 34480-9338
(860) 705-0355
Mailing address
8830 SE 17TH CT, OCALA, FL 34480-9338
(860) 705-0355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14689
FL
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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