Individual
GEORGE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
120 W MAIN ST, CASA GRANDE, AZ 85222-4820
(520) 836-1675
(520) 421-1969
Mailing address
120 W MAIN ST, CASA GRANDE, AZ 85222-4820
(520) 836-1675
(520) 421-1969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-11639
AZ
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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