Individual
ADAM GEORGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1619 3RD AVE STE 202, NEW YORK, NY 10128-3459
(646) 543-1386
Mailing address
1619 3RD AVE STE 202, NEW YORK, NY 10128-3459
(646) 543-1386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127921-01
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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