DEREK WILSON

CHARLOTTE, NC
NPI1093143950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
-- DEREK WILSON
204 S IRWIN AVE
CHARLOTTE, NC 28202-1117
Phone number: 704-651-8097
Mailing Address
-- DEREK WILSON
204 S IRWIN AVE
CHARLOTTE, NC 28202-1117
Phone number: 704-651-8097
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