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Individual

SHEILA CARNES WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
744 TELL ST, SUITE 100, ATHENS, TN 37303-3148
(423) 507-8826
(423) 507-8791
Mailing address
852 GREENHILLS DR SE, CLEVELAND, TN 37323-6004
(256) 328-4744
(423) 507-8791

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2082C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51539253
BCBS
AL
Enumeration date
03/15/2007
Last updated
01/27/2011
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