Individual
NADA S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
VESTA, 9301 ANNAPOLIS RD, LANHAM, MD 20706-1001
(240) 296-6300
Mailing address
11000 HUNTERS VIEW RD, ELLICOTT CITY, MD 21042-6109
(240) 271-0079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC15076
MD
101YP2500X
Professional Counselor
LGP12696
MD
Other
Enumeration date
10/08/2020
Last updated
06/03/2024
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