Individual
MRS. JOAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2810 MOUNT HOPE RD, WEBB CITY, MO 64870-9674
(417) 624-9659
(417) 206-7708
Mailing address
2810 MOUNT HOPE RD, WEBB CITY, MO 64870-9674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005033043
MO
Other
Enumeration date
11/09/2006
Last updated
07/09/2007
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