Individual
MARGARET ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 EZELL ST., SPARTANBURG, SC 29301
(864) 573-5956
Mailing address
108 FORESTVIEW DR., BOILING SPRINGS, SC 29316
(864) 415-5068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5144
—
101YM0800X
Mental Health Counselor
5144
—
101YP2500X
Professional Counselor
Primary
5144
SC
101YS0200X
School Counselor
5144
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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