Individual
JACQUELINE HOLLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 S LEE ST STE 500, BUFORD, GA 30518-5785
(678) 602-9229
(770) 995-1959
Mailing address
3644 BUTTERCUP CT, BUFORD, GA 30519-1983
(678) 602-9229
(770) 995-1959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
10/17/2023
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