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Tia Lynn Wilson
School Social Worker in Kirkwood, Missouri
NPI 1255709564

Tia Lynn Wilson is a School Social Worker based in Kirkwood, MO and is specialized in School. Tia Lynn Wilson practices in Kirkwood, MO. The NPI Number for Tia Lynn Wilson is 1255709564 and holds a License No. 2013029980 (Missouri).

The current practice location address for Tia Lynn Wilson is 121 E Washington Ave, Kirkwood, MO and can be reached out via phone at 314-503-7464.

Location: 121 E Washington Ave, Kirkwood, MO, 63122-4481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255709564
Provider Name
Tia Lynn Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
121 E Washington Ave, Kirkwood, MO, 63122-4481
Phone Number
314-503-7464
Fax Number
Provider Enumeration Date
09/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 E Washington Ave
City
Kirkwood
State
Missouri
Zip
63122-4481
Phone Number
314-503-7464
Fax Number
person
Provider Business Mailing Address Details
Address
121 E Washington Ave
City
Kirkwood
State
Missouri
Zip
63122-4481
Phone Number
314-503-7464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
2013029980 (Missouri)
Definition
Definition to come...
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