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Mary Wilson
NPI 1003471632 · on the registry since 2019
Practice
- Address
- 11578 Highway 27
Summerville, GA 30747 - Phone
- (706) 857-5441
- Fax
- (706) 857-7607
- Clinicians at this address
- 5
Additional practice sites
- 501 Mize St, La Fayette, GA
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia