Individual
MRS. KEANYA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1200 1ST ST NE, WASHINGTON, DC 20002-3361
(202) 276-3911
Mailing address
1200 1ST ST NE, WASHINGTON, DC 20002-3361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18846
MD
1041C0700X
Clinical Social Worker
Primary
256683
KY
1041C0700X
Clinical Social Worker
LC50082179
DC
1041S0200X
School Social Worker
—
—
Other
Enumeration date
08/21/2019
Last updated
05/08/2025
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