Wilson, George Marc

Wilson, George Marc is an individual health care provider with primary practice located at 1815 Pleasant Grove Rd , Jonesboro AR 72401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, George Marc can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
1815 Pleasant Grove Rd Jonesboro AR 72401
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2210-C Arkansas

Profile Details

NPI number 1205011327
LBN Legal business name Wilson, George Marc
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Jul 9th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205011327 NPPES
Arkansas Other 5A755 BCBS
Arkansas MEDICAID 174440795 BCBS

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