Individual
SANDRA WILSON WILBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCA
Contact information
Practice address
20 COURT ST, ROXBORO, NC 27573-5202
(919) 339-1585
(434) 374-5396
Mailing address
2182 WILBOURNE RD, SKIPWITH, VA 23968-2218
(434) 374-5396
(434) 374-5396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8842
NC
Other
Enumeration date
06/08/2011
Last updated
07/18/2012
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