Most Relevant Information
Provider Data
| NPI Number: | 1003057720 |
| Provider Name: | ABIGAIL ELISABETH WILSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 0904006972 |
Most Important Dates
| Enumeration Date: | 03/09/2009 |
| Last Updated: | 02/21/2012 |
Provider Practice Location
800 PRESTON AVE
CHARLOTTESVILLE
VA
229034420
Practice Location Phone/Fax
| Phone: | 4349721800 |
| Fax: | 4349841297 |
Provider Mailing Location
800 PRESTON AVE
CHARLOTTESVILLE
VA
229034420
Provider Mailing Phone/Fax
| Phone: | 4349721800 |
| Fax: | 4349841297 |