Individual
ANGELA DENISE WILSON GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 WINDSOR CREEK PKWY APT A, GOLDSBORO, NC 27534-8695
(919) 736-8154
(919) 736-8154
Mailing address
218 WINDSOR CREEK PKWY APT A, GOLDSBORO, NC 27534-8695
(919) 736-8154
(919) 736-8154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C008442
NC
101YM0800X
Mental Health Counselor
C008442
NC
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
C008442
NC
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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