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Individual

MS. ADRIENNE S WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3990 COLUMBIA RD, MARTINEZ, GA 30907-2220
(706) 840-2458
(706) 721-7588
Mailing address
3990 COLUMBIA RD, MARTINEZ, GA 30907-2220
(706) 840-2458
(706) 721-7588

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000423
GA

Other

Enumeration date
05/23/2009
Last updated
05/23/2009
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