Individual
ADRIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 WOODDALE DR STE 125, WOODBURY, MN 55125-4394
(651) 689-3007
Mailing address
776 FULLER AVE, SAINT PAUL, MN 55104-4831
(612) 261-8208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29635
MN
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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