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1811638562
ACACIA WILSON
CHARLOTTE, NC
NPI
1811638562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P015235)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
ACACIA WILSON
10150 MALLARD CREEK RD STE 104
CHARLOTTE, NC 28262-4567
Phone number: 980-242-7090
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Mailing Address
ACACIA WILSON
10150 MALLARD CREEK RD STE 104
CHARLOTTE, NC 28262-4567
Phone number: 980-242-7090
Copy
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