Wilson, Carly Renae
Wilson, Carly Renae is an sole proprietor health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Carly Renae can be contacted via phone (605) 347-2511.Contact Information
Primary practice address
113 Comanche Rd
Fort Meade SD 57741-1002
Phone: (605) 347-2511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2168 | South Dakota |
Profile Details
| NPI number | 1992351423 |
|---|---|
| LBN Legal business name | Wilson, Carly Renae |
| Credentials | MSW CSW PIP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2019 |
| Last updated | Aug 12th, 2019 - about 6 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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