Individual
MRS. ANNA HEATON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
111 LONGWOOD DRIVE, HUNTSVILLE, AL 35801-4522
(256) 534-8161
(256) 534-7254
Mailing address
111 LONGWOOD DRIVE, HUNTSVILLE, AL 35801-4522
(256) 534-8161
(256) 534-7254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0817-2059C
AL
1041C0700X
Clinical Social Worker
2059C
AL
Other
Enumeration date
03/21/2007
Last updated
08/23/2010
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