Individual
LYNN A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1936123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389663716004
BCBS OF WI
WI
05
—
39556700
—
WI
01
—
49699
SECURITY HEALTH PLAN
WI
01
—
6273053
MEDICA UBH UHC
MN
01
—
637871026343
PREFERRED ONE
MN
01
—
8H010WI
BCBS MN
MN
01
—
HP43170
HEALTH PARTNERS
MN
Enumeration date
05/15/2006
Last updated
09/14/2022
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