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Individual
MS. LISA MARIE WILSON
Active
Individual
MS. LISA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.,L.C.S.W., Q.P
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
C007465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007969
—
NC
Enumeration date
02/19/2009
Last updated
06/01/2026
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