Individual
MS. CHE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2701 W EDGEWOOD DR STE 101, JEFFERSON CITY, MO 65109-5890
(573) 681-3249
Mailing address
827 SOUTHWEST BLVD APT A, JEFFERSON CITY, MO 65109-2647
(573) 301-6026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023035505
MO
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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