Organization
DONNA J WILSON, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J WILSON LCSW (OWNER)
(727) 538-4208
Entity
Organization
Contact information
Practice address
73 PIEDMONT DR, WHITESBURG, KY 41858-7668
(727) 538-4208
(866) 341-7509
Mailing address
114 PICARDY CT, ELIZABETHTOWN, KY 42701-3132
(727) 538-4208
(866) 341-7509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3839
KY
Other
Enumeration date
11/24/2014
Last updated
03/15/2021
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