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Individual

ANGELA K. WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
300 BROADWAY AVE, POST OFFICE BOX 637, BRASELTON, GA 30517
(706) 447-9050
Mailing address
PO BOX 637, 300 BROADWAY AVENUE, BRASELTON, GA 30517-0011
(706) 447-9050

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005354
GA

Other

Enumeration date
12/13/2012
Last updated
08/16/2015
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