Individual
MRS. VALETA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4009 MELVILLE AVE, EAST CHICAGO, IN 46312-2735
(219) 805-2941
Mailing address
4009 MELVILLE AVE, EAST CHICAGO, IN 46312-2735
(219) 805-2941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006279A
IN
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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