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Individual

AMANDA FLEISHMAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
3002 HOPE VALLEY RD, STE 204, DURHAM, NC 27707-3832
(919) 698-5284
Mailing address
3002 HOPE VALLEY RD, STE 204, DURHAM, NC 27707-3832
(919) 698-5284

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6106676
NC
Enumeration date
05/09/2007
Last updated
10/24/2016
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