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Individual

DR. SANDRA ELAINE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD,ACSW,LCSW

Contact information

Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
(404) 756-8749
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
(404) 756-8749

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001504
GA

Other

Enumeration date
06/01/2010
Last updated
06/01/2010
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