Individual
CHARNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 KENTUCKY ST, SCOTTDALE, GA 30079-1124
(470) 242-1341
Mailing address
276 UPPER RIVERDALE RD APT 3B, JONESBORO, GA 30236-1039
(804) 824-7829
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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