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Individual
MR. NATHANIEL WILSON JR.
Active
Individual
MR. NATHANIEL WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22744
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
1041C0700X
Clinical Social Worker
—
NC
Other
Enumeration date
05/04/2016
Last updated
04/25/2023
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