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1558800326
KANISHA WILSON
FAIRFAX, VA
NPI
1558800326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701013019)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-02-14
Last Update Date
2024-05-24
Business Address
KANISHA WILSON LPC
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number: 703-559-3000
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Mailing Address
KANISHA WILSON LPC
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number:
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