Individual
ANGELA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1024 COURT AVE, MARENGO, IA 52301-1438
(319) 777-9268
(319) 359-4034
Mailing address
1024 COURT AVE, MARENGO, IA 52301-1438
(319) 800-8522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06488
IA
Other
Enumeration date
09/14/2010
Last updated
02/03/2021
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