Wilson, Marquita D.

Wilson, Marquita D. is an individual health care provider with primary practice located at 7701 Seven Mile Ln , Pikesville MD 21208-4326. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Marquita D. can be contacted via phone (410) 887-1207.

Contact Information

Primary practice address
7701 Seven Mile Ln Pikesville MD 21208-4326
Phone: (410) 887-1207
Fax: (410) 887-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14431 Maryland
Behavioral Health & Social Service Providers / Social Worker 104100000X G11181 Maryland

Profile Details

NPI number 1093916264
LBN Legal business name Wilson, Marquita D.
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Feb 22nd, 2019 - about 5 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 1093916264 NPPES
Maryland MEDICAID G11755
Maryland MEDICAID 1093916264

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