Individual
JENNIFER JANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC1539
MD
Other
Enumeration date
03/30/2009
Last updated
08/26/2015
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