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Holly Nicole Wilson, BS

Social Worker in Tampa, FL. Individual provider (NPI-1).

NPI number1730528811
StatusActive
Last updated in NPPESJun 21, 2013

Details

NPI
1730528811
Entity type
Individual (NPI-1)
Name
Mrs. Holly Nicole Wilson
Credential
BS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2013
Last updated
Jun 21, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

5707 N 22nd St
Tampa, FL 33610-4350

Phone 813-239-8069 · Fax 813-239-8514

Mailing address

5707 N 22nd St
Tampa, FL 33610-4350

Phone 813-239-8069 · Fax 813-239-8514

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