Individual
BARBARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904
(607) 763-2710
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904
(607) 763-2710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004709
—
NY
Enumeration date
08/07/2006
Last updated
01/11/2023
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