Individual
MRS. ANDREA LATISHA HOUSTON-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5841 US HIGHWAY 421 SOUTH, LILLINGTON, NC 27506
(910) 893-5727
(910) 893-6404
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1101
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014496
NC
Other
Enumeration date
10/05/2022
Last updated
06/30/2023
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