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1144671991
MCKENZIE LAINE WILSON
MONROE, NC
NPI
1144671991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC P010429)
Enumeration Date
2016-06-23
Last Update Date
2017-05-05
Business Address
MCKENZIE LAINE WILSON LCSWA
1190 W ROOSEVELT BLVD
MONROE, NC 28110-2818
Phone number: 704-296-6200
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Mailing Address
MCKENZIE LAINE WILSON LCSWA
284 EXECUTIVE PARK DR SUITE 100
CONCORD, NC 28025-1894
Phone number: 704-939-1100
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