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1891564571
LEE AVERY WILSON
CHARLOTTE, NC
NPI
1891564571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC c011958)
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
LEE AVERY WILSON LCSW
1021 MOREHEAD MEDICAL DR STE 5004
CHARLOTTE, NC 28204-2990
Phone number: 980-442-5136
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Mailing Address
LEE AVERY WILSON LCSW
1624 12TH ST NE
HICKORY, NC 28601-2771
Phone number: 828-217-1618
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