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Individual

SYDNEY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 EXECUTIVE PARK STE 103, LOUISVILLE, KY 40207-4201
(502) 975-2960
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259344
KY
225C00000X
Rehabilitation Counselor

Other

Enumeration date
11/02/2020
Last updated
09/16/2024
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