Individual
TAWANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5820 YORK RD STE 202, BALTIMORE, MD 21212-3620
(301) 345-7012
Mailing address
7474 GREENWAY CENTER DR STE 730, GREENBELT, MD 20770-3523
(301) 345-1022
(301) 560-5558
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9592
MD
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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