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1114984077
LITASHA WILSON
RALEIGH, NC
NPI
1114984077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C004473)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- LITASHA WILSON
23 SUNNYBROOK RD
RALEIGH, NC 27610-1855
Phone number: 919-212-3011
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Mailing Address
-- LITASHA WILSON
5309 TALISON CT
RALEIGH, NC 27610-2163
Phone number: 919-212-1065
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