Jean Yvette Wilson
NPI #1053907600 in Douglasville, Georgia
Provider Information
- NPI Number
- 1053907600
- Entity Type
- Individual
- Name
- Jean Yvette Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 17, 2020
- Last Updated
- Dec 17, 2020
Practice Location
- Address
- 3007 OLDE TABBY DR
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-9222
- Phone
- (404) 731-0263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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