Individual
JULIET RENEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1811 CHAPEL RD, HAVRE DE GRACE, MD 21078-1809
(443) 415-4824
(410) 939-1046
Mailing address
1811 CHAPEL RD, HAVRE DE GRACE, MD 21078-1809
(443) 415-4824
(410) 939-1046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0011819
DE
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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