Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003139221 |
---|---|
Provider Name | Morgan Elizabeth Wilson |
First Address | Concord, NC 28025-1831 |
Second Address | Wentworth, NC 27375-0355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2010 |
Last Update Date | 02/03/2010 |