Individual
MR. BRYAN PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
204 CHARLOTTE HWY STE E, ASHEVILLE, NC 28803-8681
(828) 333-5708
(828) 484-1025
Mailing address
34 RIVER DR, ROCKY MOUNT, NC 27804-4414
(828) 493-2515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014128
NC
Other
Enumeration date
03/30/2020
Last updated
04/24/2021
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