Individual
BRANDI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 HARTSFIELD CENTER PKWY, STE 500, ATLANTA, GA 30354-1377
(404) 594-4824
(470) 777-2229
Mailing address
245 N HIGHLAND AVE NE STE 230-374, ATLANTA, GA 30307-1936
(404) 594-4824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
GA
1041C0700X
Clinical Social Worker
Primary
CSW006629
GA
Other
Enumeration date
02/01/2008
Last updated
12/13/2018
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