Individual
NESSA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
54771 MCKENZIE HWY, BLUE RIVER, OR 97413-9790
(541) 822-3341
Mailing address
367 W JEFFERSON AVE, SISTERS, OR 97759-1439
(541) 280-3885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6027
OR
Other
Enumeration date
03/06/2007
Last updated
06/25/2024
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