Individual
CAROLYN TARVER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED SOCIAL WORKER
Contact information
Practice address
621 WREN AVE, FRANKFORT, KY 40601-3835
(502) 848-4225
(502) 848-8822
Mailing address
621 WREN AVE, FRANKFORT, KY 40601-3835
(502) 848-4225
(502) 848-8822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3253
KY
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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