Individual
AMY SUE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 SEQUOYAH TRL # 268, CHEROKEE, NC 28719
(828) 497-9163
Mailing address
375 SEQUOYAH TRL # 268, CHEROKEE, NC 28719
(828) 497-9163
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2017-4322-01
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017-4322-01
NORTH CAROLINA PEER SUPPORT SPECIALIST
NC
Enumeration date
10/19/2018
Last updated
10/19/2018
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