Kevin S Wilson LCSW

NPI 1194839795 - Social Worker - 1041C0700X

NPI Details
NPI 1194839795
Gender Male
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1970 RIVERSIDE PKWY
ATL VA CBOC
LAWRENCEVILLE GA, 30043-5937, US
Phone (404) 417-1726
Fax (404) 417-1708
Business Location
2691 HOLLY SPRINGS DR
SNELLVILLE GA, 30078-5957, US
Phone (770) 978-7124
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW002478
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According to our database, Mr. Kevin S Wilson LCSW NPI is 1194839795, taxonomy code is 1041C0700X and license number is CSW002478, license state is located at Georgia. Kevin S Wilson LCSW physically located at 1970 Riverside Pkwy, Lawrenceville GA, 30043-5937. NPI Number Kevin S Wilson LCSW has the Individual type.

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1194839795 NPI number is provided on an as is basis without warranty of any kind. 1194839795 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin S Wilson LCSW are for informational purposes only.