Individual
MRS. DEIRDRE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5834 AMITY SPRINGS DR, CHARLOTTE, NC 28212-2604
(704) 804-3771
Mailing address
5834 AMITY SPRINGS DR, CHARLOTTE, NC 28212-2604
(704) 804-3771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
C007762
NC
Other
Enumeration date
04/01/2010
Last updated
09/12/2023
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