Individual
LISA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4826 5TH ST NW, WASHINGTON, DC 20011-6107
(202) 431-9371
Mailing address
616 E ST NW, #208, WASHINGTON, DC 20004-2264
(202) 431-9371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC50078635
DC
Other
Enumeration date
03/13/2009
Last updated
10/30/2017
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