Individual provider · Type 1 NPI
Tia Lynn Wilson
School Social Worker · Kirkwood, MO
NPI number
1255709564
Active
Practice location
121 E Washington Ave, Unit Ll
Kirkwood, MO 63122-4481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 2013029980 (MO) |
School Social Worker: Definition to come...
About NPI 1255709564
Tia Lynn Wilson's National Provider Identifier is 1255709564, issued on Sep 3, 2015. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Kirkwood, MO. The record was last updated on Sep 3, 2015.