Individual
MRS. NAKIA DANINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LSCSW,RPT
Contact information
Practice address
9600 E 87TH ST, RAYTOWN, MO 64138-4720
(816) 520-9048
Mailing address
9600 E 87TH ST, RAYTOWN, MO 64138-4720
(816) 520-9048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011016989
MO
1041C0700X
Clinical Social Worker
4111
KS
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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