Wilson, Jodie C
Wilson, Jodie C is an sole proprietor health care provider with primary practice located at 407 Tulip Street , Liverpool NY 13088-4962. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Jodie C can be contacted via phone (315) 657-3111.Contact Information
Primary practice address
407 Tulip Street
Liverpool NY 13088-4962
Phone: (315) 657-3111
Fax: (315) 451-5557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 079038 | New York |
Profile Details
| NPI number | 1366610735 |
|---|---|
| LBN Legal business name | Wilson, Jodie C |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Jan 27th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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