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Individual

MS. CAROLYN FREEMAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
501 NW 78TH WAY, PLANTATION, FL 33324-1437
(954) 793-3201
(954) 473-1621
Mailing address
501 NW 78TH WAY, PLANTATION, FL 33324-1437
(954) 793-3201
(954) 473-1621

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5879
FL

Other

Enumeration date
10/13/2007
Last updated
05/13/2012
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