Individual
CARRIE HAMILTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 PARK RD STE 102C, CHARLOTTE, NC 28209-3650
(704) 433-5267
Mailing address
105 MCCONNELL LDG, KERNERSVILLE, NC 27284-6047
(336) 782-1038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15581
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/10/2019
Last updated
08/16/2022
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