KEITH A WILSON

FORT CAMPBELL, KY
NPI1629043609
Former NameKEITH FOSTER-WILSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TN  004702)
Enumeration Date2006-02-22
Last Update Date2007-07-08
Business Address
-- KEITH A WILSON LCSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8601
Mailing Address
-- KEITH A WILSON LCSW
PO BOX 40406
NASHVILLE, TN 37204-0406
Phone number: 615-463-6608
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