Individual
JOSANNE V WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1415 RICHLAND ST, COLUMBIA, SC 29201-2519
(803) 748-1010
(803) 748-0522
Mailing address
1415 RICHLAND ST, COLUMBIA, SC 29201-2519
(803) 748-1010
(803) 748-0522
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
72
SC
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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