Marta Wilson's National Provider Identifier (NPI) Details
Marta Wilson, LAPC, CADC II
NPI: 1891465514
Enumeration Date: 2021-09-14
Last updated: 2021-09-14
Sole Proprietor: YES
Status: active
Postal Address: 213 WALL BRIDGE RD, CLARKESVILLE, GA
Phone: 706-768-2452
Primary Practice Address: 213 WALL BRIDGE RD, CLARKESVILLE, GA
Practice's phone: 706-768-2452