Individual
LISA KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12030 W 58TH TER APT C, SHAWNEE, KS 66216-1995
(913) 353-6667
Mailing address
12030 W 58TH TER APT C, SHAWNEE, KS 66216-1995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9652
KS
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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