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Individual
LISA C WILSON
Active
Individual
LISA C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
P020204
NC
Other
Enumeration date
03/17/2009
Last updated
02/22/2024
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