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Individual

ALEXA WILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 PETTIGRU STREET, GREENVILLE, SC 29601-4081
(814) 598-3285
Mailing address
224 RICE ST, GREENVILLE, SC 29605-2053
(814) 598-3285

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12181
SC
1041C0700X
Clinical Social Worker
Primary
16062
SC

Other

Enumeration date
08/30/2019
Last updated
05/23/2024
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