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Individual

MR. ROBERT J WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCS

Contact information

Practice address
360 BEECH ST, NEWLAND, NC 28657-9670
(828) 733-5889
(828) 733-8743
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3415
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102886
NC
Enumeration date
03/09/2006
Last updated
05/10/2017
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