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Individual

AMY JO WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW

Contact information

Practice address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 781-5138
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943537
WV

Other

Enumeration date
01/18/2010
Last updated
01/18/2010
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