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Individual

MS. MARTHA JANE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
15 DARTFORD CT, CHAPEL HILL, NC 27517-8667
(919) 765-9827
Mailing address
15 DARTFORD CT, CHAPEL HILL, NC 27517-8667
(919) 765-9827

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7732
NC

Other

Enumeration date
02/12/2010
Last updated
03/29/2010
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