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Individual

MS. BRENDA LOUISE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1008 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5328
(434) 249-8240
Mailing address
1461 GLENSIDE GRN, CHARLOTTESVILLE, VA 22901-0658
(434) 249-8240

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001216
VA

Other

Enumeration date
03/26/2020
Last updated
03/26/2020
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