Shelly Wilson's National Provider Identifier (NPI) Details
Shelly Wilson, LCSW
NPI: 1295461648
Enumeration Date: 2022-07-28
Last updated: 2022-07-28
Sole Proprietor: YES
Status: active
Postal Address: 2127 BLUE HERON CT, FERNANDINA BEACH, FL
Phone: 904-206-1028
Primary Practice Address: 2127 BLUE HERON CT, FERNANDINA BEACH, FL
Practice's phone: 904-206-1028