Individual
MRS. DORELLA WILSON-WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 SOUTHERN SPRINGS DR, DALLAS, GA 30157-9447
(770) 401-7041
Mailing address
54 SOUTHERN SPRINGS DR, DALLAS, GA 30157-9447
(770) 401-7041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
03/03/2014
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