Most Relevant Information
Provider Data
| NPI Number: | 1003580473 |
| Provider Name: | LAURA WILSON LCSW, MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | CP00943189 |
Most Important Dates
| Enumeration Date: | 08/09/2021 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
16913 KNOBLEY RD
BURLINGTON
WV
26710
Practice Location Phone/Fax
| Phone: | 3042893696 |
| Fax: |
Provider Mailing Location
539 NEW CREEK HWY
KEYSER
WV
267268215
Provider Mailing Phone/Fax
| Phone: | 3048132884 |
| Fax: | 3047882409 |