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Individual

MRS. VEVELYN PETERSON WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
PO BOX 235, GARDENDALE, AL 35071-0235
(205) 639-9039
Mailing address
PO BOX 235, GARDENDALE, AL 35071-0235
(205) 378-8339

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4081C
AL

Other

Enumeration date
05/07/2024
Last updated
01/20/2026
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