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Simone Wilson
Mental Health Counselor in Riverdale, Georgia
NPI 1538752175

Simone Wilson is a Mental Health Counselor based in Riverdale, GA and is specialized in Mental Health. Simone Wilson practices in Riverdale, GA. The NPI Number for Simone Wilson is 1538752175 and holds a License No. (Georgia).

The current practice location address for Simone Wilson is 985 Steeplechase Ln, Riverdale, GA and can be reached out via phone at 562-619-6129.

Location: 985 Steeplechase Ln, Riverdale, GA, 30296-2741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538752175
Provider Name
Simone Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
985 Steeplechase Ln, Riverdale, GA, 30296-2741
Phone Number
562-619-6129
Fax Number
Provider Enumeration Date
02/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58-1430183 05 GA
institution
Provider Business Practice Location Address Details
Address
985 Steeplechase Ln
City
Riverdale
State
Georgia
Zip
30296-2741
Phone Number
562-619-6129
Fax Number
person
Provider Business Mailing Address Details
Address
985 Steeplechase Ln
City
Riverdale
State
Georgia
Zip
30296-2741
Phone Number
562-619-6129
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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