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Individual

MS. KATHERINE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1933 CHASE ST, ANDERSON, IN 46016-4238
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 574-1254
(317) 674-0060

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008543A
IN

Other

Enumeration date
07/15/2019
Last updated
10/03/2024
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