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Individual

MR. JOSHUA A WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
870 CORPORATE DR STE 301, LEXINGTON, KY 40503-5419
(859) 242-5201
Mailing address
825 TIFFANIE CT, LEXINGTON, KY 40514-4082
(859) 338-1717

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257064
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30615058
KY
Enumeration date
01/25/2007
Last updated
06/20/2024
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