Marietta C Wilson
Marietta C Wilson is a Mental Health Counselor in Orlando, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
5768 S Semoran BlvdOrlando, FL 32822-4818
Phone: (321) 397-3000
Fax: (321) 397-3024
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1245966456 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2022 |
| Last updated in NPPES | January 7, 2025 |
| Certification date | January 7, 2025 |
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