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Individual

MS. KATHERINE MCMILLAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
14823 SOPRAS CIR, ADDISON, TX 75001-4412
(214) 794-5877
Mailing address
14823 SOPRAS CIR, ADDISON, TX 75001-4412
(214) 794-5877

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8275
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8275
LICENSED PROFESSIONAL COUNSELOR
TX
Enumeration date
01/27/2023
Last updated
01/27/2023
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