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Individual

MS. CANDYCE KAY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC-S

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0003393-SUPV
OH
101YP2500X
Professional Counselor
E0003393
OH

Other

Enumeration date
09/01/2006
Last updated
06/08/2016
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