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Maria Antionetta Wilson

Social Worker, Clinical in Marion, IN. Individual provider (NPI-1).

NPI number1902308166
StatusActive
Last updated in NPPESSep 30, 2021

Details

NPI
1902308166
Entity type
Individual (NPI-1)
Name
Maria Antionetta Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2018
Certification date
Sep 30, 2021
Last updated
Sep 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical34009408AINYes
104100000X Social Worker33007946AIN

Practice location

101 S Washington St
Marion, IN 46952-3867

Phone 765-662-9971

Mailing address

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Other practice locations

8401 Harcourt Rd
Indianapolis, IN 46260

Phone 317-338-4600

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