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Individual

MEREDITH GARRISON WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
1517 SPENCER MOUNTAIN RD, GASTONIA, NC 28054-3016
(704) 860-8440
Mailing address
233 LAKE GEORGE DR, SHELBY, NC 28152-6986
(704) 860-8440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13329
NC
101YM0800X
Mental Health Counselor
A13329
NC
101YP2500X
Professional Counselor
Primary
A13329
NC

Other

Enumeration date
09/06/2017
Last updated
07/08/2024
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