Individual
ALEISA KEELS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(954) 249-6199
Mailing address
305 FARM SPRINGS RD, MOUNT HOLLY, NC 28120-3022
(704) 822-1121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2200
NC
1041C0700X
Clinical Social Worker
Primary
C005824
NC
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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