Individual
CECILE DANETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2089 3RD AVE, NEW YORK, NY 10029-2117
(212) 828-6174
(212) 828-6145
Mailing address
8333 AUSTIN ST, #3-O, KEW GARDENS, NY 11415-1800
(718) 849-2418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R056650-1
NY
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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