Chace Wilson
Chace Wilson is a Social Worker in Central Islip, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
320 Carleton AveCentral Islip, NY 11722-4506
Phone: (631) 663-4300
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 123174 (NY) |
|---|
Record details
| NPI number | 1952156200 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2024 |
| Last updated in NPPES | April 20, 2024 |
| Certification date | April 19, 2024 |
| Mailing address | 1314 5th Ave, Bay Shore, NY 11706-6208 |
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