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Individual
STEPHANIE A WILSON
Active
Individual
STEPHANIE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CSW, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2057-226
WI
101YP2500X
Professional Counselor
Primary
5848-125
WI
171M00000X
Case Manager/Care Coordinator
7308 120
WI
Other
Enumeration date
04/12/2007
Last updated
11/16/2015
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