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Individual

JANE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
10005 24TH ST E, EDGEWOOD, WA 98371-2130
(253) 376-7238
Mailing address
2779 81ST AVENUE CT E, PUYALLUP, WA 98371-3430
(253) 376-7238

Taxonomy

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

Other

Enumeration date
01/07/2020
Last updated
02/01/2023
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