Individual
CAITLIN GRACE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 883-6470
(518) 271-3682
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103559-1
NY
1041C0700X
Clinical Social Worker
Primary
099136
NY
Other
Enumeration date
04/15/2019
Last updated
04/22/2025
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