Individual
MS. DENEEN MARGUERITE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 S PAXON ST, PHILADELPHIA, PA 19143-5016
(215) 726-7386
Mailing address
1329 S PAXON ST, PHILADELPHIA, PA 19143-5015
(215) 726-7386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/16/2009
Last updated
11/07/2016
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