Individual
MS. TWYLA JOANNA PETERSON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 CLOISTER CT, SUITE 100, CHAPEL HILL, NC 27514-2295
(919) 801-9087
(919) 403-5511
Mailing address
608 BARTLETT CIR, HILLSBOROUGH, NC 27278-6768
(919) 644-6443
(919) 401-5511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C000749
NC
1041C0700X
Clinical Social Worker
C000749
NC
Other
Enumeration date
10/06/2006
Last updated
11/28/2022
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