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Individual

ASHLEY ROSE WILHELM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS

Contact information

Practice address
800 MARTIN LUTHER KING JR DR, LUMBERTON, NC 28358
(103) 700-8159
(910) 674-3083
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23728
NC
1041C0700X
Clinical Social Worker
Primary
C012883
NC

Other

Enumeration date
03/24/2019
Last updated
02/25/2020
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