Wilson, Monique Yvette
Wilson, Monique Yvette is an sole proprietor health care provider with primary practice located at 139 Henry Pkwy , Mcdonough GA 30253-6636. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wilson, Monique Yvette can be contacted via phone (770) 358-5252.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 002017 | Georgia |
Profile Details
| NPI number | 1306414859 |
|---|---|
| LBN Legal business name | Wilson, Monique Yvette |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2021 |
| Last updated | Jun 11th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306414859 | NPPES |
| Georgia | MEDICAID | 58-2098758 |
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