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NPI 1548748015

NPI 1548748015 : SUSANNE ASCHER WALKER WILSON : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1548748015
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUSANNE ASCHER WALKER WILSON 
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Dates
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    Enumeration Date     |    08/06/2018
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    Last Update Date     |    08/06/2018
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Provider Practice Location Address
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    Address Line         |    156 E CHESTNUT ST 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-2337
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    Country              |    US
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    Telephone            |    828-450-1052
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    31 WOODVALE AVE 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28804-3508
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    Country              |    US
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    Telephone            |    828-450-1052
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    Fax                  |    888-365-0656
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Authorized Official
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    Title or Position    |    LCSW
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    Name                 |     SUSANNE ASCHER WALKER WILSON 
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    Credential           |    LCSW
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    Telephone            |    828-450-1052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C010126
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    License Number State |    NC
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