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Individual

HEATHER WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1735
Mailing address
205 FOXBURY DR, EULESS, TX 76040-3201

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
37020
TX

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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