Individual
MR. GREG STEPHEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2701 N OLD ATHERTON RD, INDEPENDENCE, MO 64058-2012
(816) 616-7570
Mailing address
2701 N OLD ATHERTON RD, INDEPENDENCE, MO 64058-2012
(816) 616-7570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004036977
MO
Other
Enumeration date
01/08/2007
Last updated
07/09/2007
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