| Donna J Wilson, Lcsw, Pllc | |
|
73 Piedmont Dr Whitesburg KY 41858-7668 | |
| (727) 538-4208 | |
| (866) 341-7509 |
| Full Name | Donna J Wilson, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 73 Piedmont Dr, Whitesburg, Kentucky |
| Authorized Official Name and Position | Donna J Wilson (OWNER) |
| Authorized Official Contact | 7275384208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna J Wilson, Lcsw, Pllc 114 Picardy Ct Elizabethtown KY 42701-3132 Ph: (727) 538-4208 | Donna J Wilson, Lcsw, Pllc 73 Piedmont Dr Whitesburg KY 41858-7668 Ph: (727) 538-4208 |
| NPI Number | 1871990598 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871990598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3839 (Kentucky) | Primary |
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