Individual
LAURA K. WIILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
192 SAFE HAVEN DR, CLARKSBURG, WV 26301-9103
(304) 622-1907
Mailing address
192 SAFE HAVEN DR, CLARKSBURG, WV 26301-9103
(304) 622-1907
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NO NUMBER
WV
104100000X
Social Worker
Primary
BP00947496
WV
Other
Enumeration date
06/09/2014
Last updated
04/09/2026
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